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LAKE COUNTY NURSING & REHABILITATION CENTER

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LAKE COUNTY NURSING & REHABILITATION CENTER VS
All other Nursing Homes USA
General
City EAST CHICAGO   vs 0% Nursing Homes USA have EAST CHICAGO
State attribute explanation IN   vs 3.1% Nursing Homes USA have IN
Street 5025 MCCOOK AVE  
Zip Code 46312  
Phone 2193970380  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
117  (8.06 higher than average)
vs
108.94

Total Number of Residents
67  (24.25 lower than average)
vs
91.25

Percent of Occupied Beds
57 % (26.65 % lower than average)
vs
83.65 %

Health Survey Date 3/12/2012  
Fire Survey Date 4/3/2012  
Sprinkler Status Not Sprinklered  vs 1.1% Nursing Homes USA have Not 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? 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? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(56.16 lower than average)
vs
58.16

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

# of deficiencies
25  (17.52 higher than average)
vs
7.48

Staff Information
Number of Residents
67  (24.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.8  (0.03 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.34  (0.5 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
2.14  (0.55 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.
survey Date: 03/13/2012
date Of Correction: 04/06/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/13/2012
date Of Correction: 04/06/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 03/12/2012
date Of Correction: 04/06/2012 

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: 11/29/2011
date Of Correction: 12/15/2011 

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: 07/12/2010
date Of Correction: 08/09/2010 

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: 07/12/2010
date Of Correction: 08/09/2010 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 07/12/2010
date Of Correction: 08/09/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 07/12/2010
date Of Correction: 08/09/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
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: 03/13/2012
date Of Correction: 04/06/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 07/07/2011
date Of Correction: 08/05/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 07/07/2011
date Of Correction: 08/05/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/13/2012
date Of Correction: 04/06/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/13/2012
date Of Correction: 04/06/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/13/2012
date Of Correction: 04/06/2012 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.
survey Date: 03/12/2012
date Of Correction: 04/06/2012 

Deficiency #5 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: 03/12/2012
date Of Correction: 04/06/2012 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 03/12/2012
date Of Correction: 04/06/2012 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/12/2012
date Of Correction: 04/06/2012 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/05/2011
date Of Correction: 09/04/2011 

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: 11/29/2011
date Of Correction: 12/15/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Ensure That All Full-time Nurse Aids Employed For More Than 4 Months Are Fully Trained And Competent To Provide Nursing And Nursing-related Services, As Defined By Federal Requirements.
survey Date: 11/29/2011
date Of Correction: 12/15/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 11/29/2011
date Of Correction: 12/15/2011 

Deficiency #2 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: 11/29/2011
date Of Correction: 12/15/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 08/05/2011
date Of Correction: 09/04/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 07/07/2011
date Of Correction: 08/05/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 9.4 / 10.4 % 
Percent of long-stay residents whose need for help with daily activities has increased
1.4 % (31.55 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
26 % (9.34 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
16.2 % (3.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 13.1:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
11.9 % (3.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
3.3 % (10.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.6 % (26.78 % 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 self-report moderate to severe pain
31 % (5.98 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
71.3 % (13.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
71.6 % (12.34 % 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
3.2 % (12.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 11.8:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
0.7 % (23 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
17.5 % (3.4 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
13 % (3.78 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.2 % (0.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.5 % (4.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.5 % (3.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
3.8 % (5.78 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.6 % (18.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.6 % (36.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.1 % (8.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
29.3 % (4.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.6 % (11.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
72.1 % (2.65 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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