ELMWOOD NURSING & REHAB CENTER

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General
City	MARYVILLE	vs	0.1% Nursing Homes USA have MARYVILLE
State attribute explanation	IL	vs	5% Nursing Homes USA have IL	compare IL Nursing Homes USA
Street	152 WILMA DRIVE
Zip Code	62062
Phone	6183447750
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
Quality Measures Star Rating	5 (1.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (5)
RN Only Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (2)
Number of Certified Beds	104 (4.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (104)
Total Number of Residents	60 (31.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (60)
Percent of Occupied Beds	58 % (25.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (58) %
Health Survey Date	4/17/2012
Fire Survey Date	4/17/2012
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	19 (11.52 higher than average)	vs	7.48

Staff Information
Number of Residents	60 (31.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.35 (0.42 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.88 (0.04 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.23 (0.36 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.1 (5.39 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.1 (equals average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 02/02/2012 date Of Correction: 02/27/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 07/26/2011 date Of Correction: 07/27/2011
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 05/31/2011 date Of Correction: 07/27/2011
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 01/25/2011 date Of Correction: 01/31/2011

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 04/04/2012 date Of Correction: 04/18/2012
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: 05/17/2011 date Of Correction: 05/17/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 05/17/2011 date Of Correction: 05/17/2011
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 01/25/2011 date Of Correction: 01/31/2011
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 08/26/2010 date Of Correction: 09/13/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 02/02/2012 date Of Correction: 02/27/2012
Deficiency #2		Scope: Many level Of Harm: 1 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 07/26/2011 date Of Correction: Not Available
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 04/18/2011 date Of Correction: 04/19/2011
Deficiency #4		Scope: Some level Of Harm: 1 deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home. survey Date: 11/09/2009 date Of Correction: 11/11/2009

Quality Care Deficiencies
Deficiency #1		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: 02/02/2012 date Of Correction: 02/27/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 04/18/2011 date Of Correction: 04/19/2011

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: 05/31/2011 date Of Correction: 07/26/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 01/25/2011 date Of Correction: 01/31/2011

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 02/02/2012 date Of Correction: 02/27/2012

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 05/31/2011 date Of Correction: 07/26/2011

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	3.2 % (13.46 % lower than average)	vs	16.66 %
Percent of long-stay residents who lose too much weight	6.4 % (5.43 % lower than average)	vs	11.83 %
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	4.3 % (9.16 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	75.2 % (46.82 % higher 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 who self-report moderate to severe pain	4.5 % (20.52 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	42.3 % (42.34 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	70.4 % (13.54 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 (29.3 higher than average)	vs	45.90
Percent of long-stay residents experiencing one or more falls with major injury	2.1 % (13.42 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	45.5 % (20.11 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	3.9 % (19.8 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	1.7 % (12.4 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	1.4 % (7.82 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	4 % (4.5 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	13.3 % (30.08 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	0.6 % (10.05 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	1.1 % (8.48 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	3.4 % (16.46 % 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	5 % (5.73 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	5.4 % (19.36 % lower than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	75.3 % (6.14 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	91.5 % (16.75 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	2.9 % (14.44 % lower than average)	vs	17.34 %