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PLAZA NURSING AND REHAB CTR

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PLAZA NURSING AND REHAB CTR VS
All other Nursing Homes USA
General
City MIDLOTHIAN   vs 0% Nursing Homes USA have MIDLOTHIAN
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 3249 WEST 147TH STREET  
Zip Code 60445  
Phone 7083893141  
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
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

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

Number of Certified Beds
91  (17.94 lower than average)
vs
108.94

Total Number of Residents
76  (15.25 lower than average)
vs
91.25

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

Health Survey Date 8/25/2011  
Fire Survey Date 8/25/2011  
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 - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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
(54.16 lower than average)
vs
58.16

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

# of deficiencies
15  (7.52 higher than average)
vs
7.48

Staff Information
Number of Residents
76  (15.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.38  (0.39 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.54  (0.3 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.92  (0.67 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

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

Environmental Deficiencies
Deficiency #1 Scope: Many
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: 10/25/2011
date Of Correction: 11/05/2011 

Deficiency #2 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: 08/30/2011
date Of Correction: 09/14/2011 

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: 12/09/2010
date Of Correction: 12/10/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 12/09/2010
date Of Correction: 12/10/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 02/26/2010
date Of Correction: 03/18/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 10/25/2011
date Of Correction: 11/05/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 05/31/2011
date Of Correction: 06/14/2011 

Deficiency #4 Scope: Some
level Of Harm: 1
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: 05/07/2009
date Of Correction: 05/08/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 02/28/2012
date Of Correction: 03/15/2012 

Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 09/21/2010
date Of Correction: 10/15/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 02/26/2010
date Of Correction: 03/18/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 04/10/2009
date Of Correction: 04/29/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.9 % (9.81 % higher 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
1.1 % (15.56 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
1.4 % (10.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 8.9 / 9.9 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2 % (13.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.2 % (9.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.4 % (26.98 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
3.7 % (21.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
35.2 % (49.44 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
50 % (33.94 % lower than average)
vs
83.94 %

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

Percent of long-stay residents experiencing one or more falls with major injury
1.4 % (14.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33.3 % (7.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
1.50 % (12.6 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
3 % (6.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
1.3 % (7.2 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 10.1:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 % (8.85 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.9 % (4.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.8 % (18.06 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.8 % (8.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
5.2 % (19.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
35.5 % (45.94 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
65.7 % (9.05 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
14.3 % (3.04 % lower than average)
vs
17.34 %



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