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HILLCREST NURSING & REHAB CTR

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HILLCREST NURSING & REHAB CTR 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 777  
Zip Code 60432  
Phone 8157274794  
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
(1.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
168  (59.06 higher than average)
vs
108.94

Total Number of Residents
141  (49.75 higher than average)
vs
91.25

Percent of Occupied Beds
84 % (0.35 % higher than average)
vs
83.65 %

Health Survey Date 11/15/2011  
Fire Survey Date 10/19/2011  
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
Type of Ownership For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't 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 16  
Staff Information
Number of Residents
141  (49.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.57  (0.27 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.05  (0.54 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: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/07/2012
date Of Correction: 02/24/2012 

Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/15/2011
date Of Correction: 01/12/2012 

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: 06/11/2010
date Of Correction: 07/02/2010 

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: 02/03/2012
date Of Correction: 02/22/2012 

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: 11/15/2011
date Of Correction: 12/02/2011 

Deficiency #3 Scope: Some
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 11/15/2011
date Of Correction: 12/02/2011 

Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 11/15/2011
date Of Correction: 12/02/2011 

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: 02/16/2010
date Of Correction: 02/23/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/06/2012
date Of Correction: 04/25/2012 

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: 02/03/2012
date Of Correction: 02/24/2012 

Deficiency #3 Scope: Few
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: 11/15/2011
date Of Correction: 12/02/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/15/2011
date Of Correction: 12/02/2011 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Proper Discharge Planning And Communication, Of The Resident's Health Status And Summary Of The Resident's Stay.
survey Date: 04/06/2012
date Of Correction: 04/25/2012 

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: 03/21/2012
date Of Correction: 04/06/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 02/03/2012
date Of Correction: 02/24/2012 

Deficiency #3 Scope: Few
level Of Harm: 4
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: 02/03/2012
date Of Correction: 02/24/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
52.1 % (27.01 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
17.2 % (0.54 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
75.2 % (62.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
8.2 % (3.63 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
6.4 % (38.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 % (14.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.5 % (10.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
14.6 % (13.78 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.6 % (42.08 % lower than average)
vs
43.68 %

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
4.1 % (11.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
52.2 % (26.81 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
5.3 % (18.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
15 % (0.9 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.1 % (5.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.5 % (1 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
7.8 % (35.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.1 % (9.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.7 % (6.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
12.9 (55.2) % (6.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.50 % (37.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 11.8:1 % 
Percent of short-stay residents who self-report moderate to severe pain
31.3 % (6.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
45.8 % (35.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
54.1 % (20.65 % lower than average)
vs
74.75 %



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