LEWIS MEMORIAL CHRISTIAN VLG

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General
City	SPRINGFIELD	vs	0.3% Nursing Homes USA have SPRINGFIELD
State attribute explanation	IL	vs	5% Nursing Homes USA have IL	compare IL Nursing Homes USA
Street	3400 WEST WASHINGTON
Zip Code	62702
Phone	2177879600
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
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	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (2)
Number of Certified Beds	155 (46.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (155)
Total Number of Residents	145 (53.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (145)
Percent of Occupied Beds	94 % (10.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (94) %
Health Survey Date	6/15/2012
Fire Survey Date	6/12/2012
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	Non Profit - Church Related	vs	4.4% Nursing Homes USA have Non profit - Church related	compare Non profit - Church related 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	3 (55.16 lower than average)	vs	58.16
Total Enforcement Actions Count	3 (53.31 lower than average)	vs	56.31
# of deficiencies	18 (10.52 higher than average)	vs	7.48

Staff Information
Number of Residents	145 (53.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.58 (0.19 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.33 (0.49 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.91 (0.32 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.11 (5.38 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.11 (0.01 higher than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		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: 01/18/2012 date Of Correction: 01/27/2012
Deficiency #2		Scope: Some level Of Harm: 1 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 03/11/2011 date Of Correction: 04/01/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 09/24/2010 date Of Correction: 10/14/2010
Deficiency #4		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: 12/31/2009 date Of Correction: 03/05/2010
Deficiency #5		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: 07/07/2009 date Of Correction: 07/27/2009

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: 04/08/2010 date Of Correction: 05/03/2010
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: 04/08/2010 date Of Correction: 05/03/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 03/11/2011 date Of Correction: 04/01/2011
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 03/11/2011 date Of Correction: 04/01/2011
Deficiency #3		Scope: Some level Of Harm: 2 deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization. survey Date: 11/15/2010 date Of Correction: 12/19/2010
Deficiency #4		Scope: Some 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: 11/15/2010 date Of Correction: 12/19/2010
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 12/31/2009 date Of Correction: 02/10/2010

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 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: 05/03/2012 date Of Correction: 05/16/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 05/03/2012 date Of Correction: 05/16/2012
Deficiency #3		Scope: Few level Of Harm: 3 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: 12/31/2009 date Of Correction: 02/10/2010
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 12/31/2009 date Of Correction: 02/10/2010

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 01/18/2012 date Of Correction: 01/27/2012
Deficiency #2		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: 09/02/2010 date Of Correction: 09/02/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	24.3 % (0.79 % 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	22.6 % (5.94 % higher than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	11.9 % (0.68 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	6.7 % (5.13 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	53.7 % (9.16 % higher than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.9 % (8.73 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	19 % (5.54 % higher than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	4.7 % (23.68 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	4.7 % (38.98 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	23.9 % (1.12 % lower than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	89.7 % (5.06 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	88.8 % (4.86 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	2.7 % (43.2 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	1.9 % (13.62 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	21.6 % (3.79 % lower than average)	vs	25.39 %
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	24.5 % (10.4 % higher than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	8.4 % (0.82 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	6.6 % (1.9 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	57.5 % (14.12 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	6.8 % (3.85 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	13.2 % (3.62 % higher than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	3.9 % (15.96 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	6.5 % (32.03 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	1.3 % (9.43 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	26.7 % (1.94 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	88.6 % (7.16 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	88.1 % (13.35 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	14.5 % (2.84 % lower than average)	vs	17.34 %