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DECATUR MANOR HEALTHCARE

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DECATUR MANOR HEALTHCARE VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City DECATUR   vs 0.2% Nursing Homes USA have DECATUR
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 1016 WEST PERSHING ROAD  
Zip Code 62526  
Phone 2178750833  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

Number of Certified Beds
147  (38.06 higher than average)
vs
108.94

Total Number of Residents
128  (36.75 higher than average)
vs
91.25

Percent of Occupied Beds
87 % (3.35 % higher than average)
vs
83.65 %

Health Survey Date 9/16/2011  
Fire Survey Date 9/22/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(1.48 lower than average)
vs
7.48

Staff Information
Number of Residents
128  (36.62 higher than average)
vs
91.38

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/26/2012
date Of Correction: 02/09/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 12/06/2011
date Of Correction: 12/07/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 03/23/2011
date Of Correction: 04/06/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 3
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 07/01/2009
date Of Correction: 07/07/2009 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 07/01/2009
date Of Correction: 07/07/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 03/23/2011
date Of Correction: 04/06/2011 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
11.2-20 % (5.46 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
3.1 % (8.73 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
3.3 % (41.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
7 % (21.38 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.3 % (6.66 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.7 % (7.76 % higher than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (59.68 % higher than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
85.7 % (60.31 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
9.7 % (4.4 % lower than average)
vs
14.10 %

Percent of long-stay residents who lose too much weight
4.3 % (4.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
3.4 % (39.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (64.55 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
75.2 % (65.62 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5.9 % (13.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
75.2 % (64.47 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
9 % (15.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.6 % (11.16 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
94.9 % (20.15 % higher than average)
vs
74.75 %



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