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SOUTH SUBURBAN REHAB CENTER

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SOUTH SUBURBAN REHAB CENTER VS
All other Nursing Homes USA
General
City HOMEWOOD   vs 0% Nursing Homes USA have HOMEWOOD
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 19000  
Zip Code 60430  
Phone 7089579200  
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
(2.17 lower than average)
vs
3.17

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

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

Number of Certified Beds
259  (150.06 higher than average)
vs
108.94

Total Number of Residents
134  (42.75 higher than average)
vs
91.25

Percent of Occupied Beds
52 % (31.65 % lower than average)
vs
83.65 %

Health Survey Date 10/28/2011  
Fire Survey Date 11/29/2011  
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
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? 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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
16  (8.52 higher than average)
vs
7.48

Staff Information
Number of Residents
134  (42.62 higher than average)
vs
91.38

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

Number of LPN/LVN Hours Per Resident Per Day
0.82  (0.02 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.12  (0.47 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: 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: 05/10/2012
date Of Correction: 05/25/2012 

Deficiency #2 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: 09/21/2011
date Of Correction: 11/30/2011 

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: 02/25/2011
date Of Correction: 02/25/2011 

Deficiency #4 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: 09/07/2010
date Of Correction: 09/24/2010 

Deficiency #5 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 04/28/2010
date Of Correction: 05/17/2010 

Deficiency #6 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: 12/02/2009
date Of Correction: 12/28/2009 

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: 12/13/2010
date Of Correction: 01/14/2011 

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: 09/07/2010
date Of Correction: 09/24/2010 

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: 04/28/2009
date Of Correction: 04/30/2009 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.
survey Date: 04/28/2009
date Of Correction: 04/30/2009 

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: 12/13/2010
date Of Correction: 01/14/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/07/2010
date Of Correction: 09/24/2010 

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: 10/28/2011
date Of Correction: 11/30/2011 

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: 09/21/2011
date Of Correction: 11/30/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 09/07/2010
date Of Correction: 09/24/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 09/07/2010
date Of Correction: 09/24/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
27.9 % (2.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.9 % (29.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
1.2 % (15.46 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
9 % (3.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
21 % (9.17 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.2 % (14.34 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.7 % (14.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.7 % (7.76 % 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
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
9.3 % (15.72 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
39.5 % (45.14 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
39.5 % (44.44 % 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
3.2 % (12.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
26.8 % (1.41 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.1 % (21.6 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
4.2 % (9.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
9.3 % (0.08 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 18.1:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
26.5 % (16.88 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.1 % (7.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.4 % (4.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.1 % (18.76 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.5 - 2.0 % (38.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.9 % (6.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
13.8 % (10.96 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
23.3 % (58.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
25.6 (78.1) % (49.15 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
7.3 % (10.04 % lower than average)
vs
17.34 %



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