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ST MARTHA MANOR

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ST MARTHA MANOR VS
All other Nursing Homes USA
General
City Chicago  vs 0.6% Nursing Homes USA have Chicago
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 4621 NORTH RACINE AVENUE  
Zip Code 60640  
Phone 7737842300  
Overall Star Rating
(0.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher 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
132  (23.06 higher than average)
vs
108.94

Total Number of Residents
123  (31.75 higher than average)
vs
91.25

Percent of Occupied Beds
93 % (9.35 % higher than average)
vs
83.65 %

Health Survey Date 12/30/2011  
Fire Survey Date 12/29/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicaid  vs 3.5% Nursing Homes USA have 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? 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
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
123  (31.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.34  (0.43 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.53  (0.31 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.86  (0.73 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 07/09/2009
date Of Correction: 07/29/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/22/2011
date Of Correction: 05/18/2011 

Quality Measures Q1
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 % (15.66 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
75.2 % (63.37 % higher than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
39.4 % (5.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
0.8 % (12.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
13.6-28 % (14.78 % 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 with Pressure ulcers that are new or worsened
14.3 % (69.64 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
1.7 % (13.82 % lower than average)
vs
15.52 %

Quality Measures Q3
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
0.3 % (13.8 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 2.6 / 3 % 
Percent of long-stay residents who lose too much weight
2.20 % (6.3 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.9 % (5.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.4 % (10.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
0.6 % (8.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
14.8 % (5.06 % 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
2.20 % (8.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
6.1 % (18.66 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
25.6 (78.1) % (55.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
26.8 % (47.95 % lower than average)
vs
74.75 %



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