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FAIRVIEW CARE CENTER OF JOLIET

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FAIRVIEW CARE CENTER OF JOLIET VS
All other Nursing Homes USA
General
City JOLIET   vs 0.1% Nursing Homes USA have JOLIET
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 222 NORTH HAMMES  
Zip Code 60435  
Phone 8157250443  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
203  (94.06 higher than average)
vs
108.94

Total Number of Residents
132  (40.75 higher than average)
vs
91.25

Percent of Occupied Beds
65 % (18.65 % lower than average)
vs
83.65 %

Health Survey Date 9/27/2011  
Fire Survey Date 9/28/2011  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and 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? Yes  vs 1% Nursing Homes USA have Special Focus Facility?
Civil Money Penalty Count
(53.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(49.31 lower than average)
vs
56.31

# of deficiencies 50  
Staff Information
Number of Residents
132  (40.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.69  (0.08 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.43  (0.41 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.13  (0.46 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.04  (5.45 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.04  (0.06 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #2 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: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #3 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: 02/03/2012
date Of Correction: 02/22/2012 

Deficiency #4 Scope: Some
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: 09/27/2011
date Of Correction: 10/28/2011 

Deficiency #5 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: 07/18/2011
date Of Correction: 07/27/2011 

Deficiency #6 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: 05/05/2011
date Of Correction: 07/27/2011 

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: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #2 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: 07/18/2011
date Of Correction: 07/27/2011 

Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 07/18/2011
date Of Correction: 07/27/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 07/18/2011
date Of Correction: 07/27/2011 

Deficiency #5 Scope: Some
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: 05/05/2011
date Of Correction: 07/27/2011 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 05/05/2011
date Of Correction: 07/27/2011 

Deficiency #7 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: 07/29/2009
date Of Correction: 08/14/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 02/03/2012
date Of Correction: 02/20/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 02/03/2012
date Of Correction: 02/20/2012 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.
survey Date: 02/03/2012
date Of Correction: 02/20/2012 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 11/22/2011
date Of Correction: 12/02/2011 

Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 11/22/2011
date Of Correction: 12/02/2011 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.
survey Date: 11/04/2011
date Of Correction: 11/04/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/03/2012
date Of Correction: 05/21/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/03/2012
date Of Correction: 05/21/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #5 Scope: Some
level Of Harm: 3
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #9 Scope: Some
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: 02/03/2012
date Of Correction: 02/22/2012 

Deficiency #10 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/27/2011
date Of Correction: 10/28/2011 

Deficiency #11 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/18/2011
date Of Correction: 07/27/2011 

Deficiency #12 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 05/05/2011
date Of Correction: 06/01/2011 

Deficiency #13 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 05/05/2011
date Of Correction: 07/27/2011 

Deficiency #14 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 05/05/2011
date Of Correction: 06/01/2011 

Deficiency #15 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 05/05/2011
date Of Correction: 06/01/2011 

Deficiency #16 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/22/2011
date Of Correction: 04/06/2011 

Deficiency #17 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/29/2009
date Of Correction: 08/14/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 05/05/2011
date Of Correction: 06/01/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 07/29/2009
date Of Correction: 08/14/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/18/2011
date Of Correction: 07/27/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 05/03/2012
date Of Correction: 05/21/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #4 Scope: Some
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: 04/20/2012
date Of Correction: 05/21/2012 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 02/22/2012
date Of Correction: 03/05/2012 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 02/03/2012
date Of Correction: 02/22/2012 

Deficiency #7 Scope: Few
level Of Harm: 3
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: 11/22/2011
date Of Correction: 12/30/2011 

Deficiency #8 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: 02/01/2011
date Of Correction: 02/22/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
21.9 % (3.19 % lower than average)
vs
25.09 %

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
1.7 % (14.96 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 11.6:1 % 
Percent of long-stay residents who lose too much weight 17.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
28.6 % (15.94 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 % (11.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
10.6 % (2.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
0.8 % (27.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.4 % (41.28 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
10.9 % (14.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
21 % (63.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
15.5 % (68.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
4.5 % (41.4 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.4 % (13.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.5 % (3.89 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.7 % (21 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3.3 % (10.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
11.2-20 % (1.98 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
18.4 % (9.9 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
28 % (15.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4 % (6.65 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
13 % (3.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.4 % (18.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
4.5 % (34.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2 % (8.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
12.2 % (12.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
33.3 % (48.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
25 % (49.75 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
23.4 % (6.06 % higher than average)
vs
17.34 %



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