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OAK LAWN RESPIRATORY & REHAB

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OAK LAWN RESPIRATORY & REHAB VS
All other Nursing Homes USA
General
City OAK LAWN   vs 0% Nursing Homes USA have OAK LAWN
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 9525 SOUTH MAYFIELD  
Zip Code 60453  
Phone 7086367000  
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
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
143  (34.06 higher than average)
vs
108.94

Total Number of Residents
71  (20.25 lower than average)
vs
91.25

Percent of Occupied Beds
50 % (33.65 % lower than average)
vs
83.65 %

Health Survey Date 2/9/2012  
Fire Survey Date 3/15/2012  
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
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? 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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
26  (18.52 higher than average)
vs
7.48

Staff Information
Number of Residents
71  (20.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.97  (0.2 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.63  (0.21 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.59  (equals average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/28/2011
date Of Correction: 08/25/2011 

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: 08/31/2009
date Of Correction: 10/02/2009 

Deficiency #3 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: 04/14/2009
date Of Correction: 05/12/2009 

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: 10/01/2009
date Of Correction: 10/02/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 06/29/2011
date Of Correction: 07/29/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 08/11/2010
date Of Correction: 08/30/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 11/17/2009
date Of Correction: 11/18/2009 

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: 11/23/2011
date Of Correction: 12/09/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/28/2011
date Of Correction: 08/25/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/29/2011
date Of Correction: 07/29/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/11/2010
date Of Correction: 08/30/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 02/01/2010
date Of Correction: 02/02/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 02/01/2010
date Of Correction: 02/02/2010 

Deficiency #7 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/13/2010
date Of Correction: 01/14/2010 

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: 11/17/2009
date Of Correction: 11/18/2009 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/27/2009
date Of Correction: 10/28/2009 

Deficiency #10 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/27/2009
date Of Correction: 10/28/2009 

Deficiency #11 Scope: Few
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: 08/31/2009
date Of Correction: 10/02/2009 

Deficiency #12 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/31/2009
date Of Correction: 10/02/2009 

Deficiency #13 Scope: Few
level Of Harm: 4
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/04/2009
date Of Correction: 08/05/2009 

Deficiency #14 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/04/2009
date Of Correction: 08/05/2009 

Deficiency #15 Scope: Some
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: 05/12/2009
date Of Correction: 05/13/2009 

Deficiency #16 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 05/12/2009
date Of Correction: 05/13/2009 

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: 01/13/2010
date Of Correction: 01/14/2010 

Deficiency #2 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: 10/27/2009
date Of Correction: 10/28/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 04/14/2009
date Of Correction: 05/12/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32 % (6.91 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
0.9 % (32.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 12.3:1 % 
Percent of long-stay high-risk residents with pressure ulcers 17.8:1 % 
Percent of long-stay residents who lose too much weight
9.7 % (2.13 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
9.3 % (6.33 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.6 % (11.86 % 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
3.2 % (40.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
6.1 % (18.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
20.3 % (64.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
11.5 % (72.44 % 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
1.6 % (13.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
26.7 % (1.31 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.3 % (23.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
5.9 % (8.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
29.3 % (20.08 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.8 % (1.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
6.5 % (36.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
17.7 % (7.05 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
0.5 - 2.0 % (9.08 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
4.4 % (34.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.4 % (9.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
6.3 % (18.46 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
27.8 (82.0) % (53.64 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
23 % (51.75 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
7.4 % (9.94 % lower than average)
vs
17.34 %



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