General |
City |
Rockford |
Chicago |
State attribute explanation |
Il |
Il |
Street |
550 South Mulford Avenue |
201 West 69th Street |
Zip Code |
61,108 |
60,621 |
Phone |
8,154,841,002 |
7,734,871,200 |
Overall Star Rating |
1 |
1 |
Health Inspections Star Rating |
1 |
2 |
Nurse Staffing Star Rating |
2 |
1 |
Quality Measures Star Rating |
3 |
4 |
RN Only Star Rating |
2 |
2 |
Number of Certified Beds |
268 |
300 |
Total Number of Residents |
179 |
225 |
Percent of Occupied Beds |
67 % |
75 % |
Health Survey Date |
8/16/2011 |
5/11/2012 |
Fire Survey Date |
8/24/2011 |
5/15/2012 |
Sprinkler Status |
Fully Sprinklered |
Partially Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
For Profit - Corporation |
For Profit - Corporation |
Located Within a Hospital? |
No |
No |
Multi Nursing Home Ownership? |
Yes |
Yes |
Resident and Family Councils |
Resident |
Resident |
Continuing Care Retirement Community? |
No |
No |
Quality Indicator Survey? |
No |
No |
Special Focus Facility? |
No |
No |
Civil Money Penalty Count |
5 |
2 |
Total Enforcement Actions Count |
5 |
2 |
# of deficiencies |
27 |
18 |
|
Staff Information |
Number of Residents |
179 |
225 |
Number of RN Hours Per Resident Per Day |
0.45 |
0.42 |
Number of LPN/LVN Hours Per Resident Per Day |
0.85 |
0.53 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.3 |
0.95 |
Number of CNA Hours Per Resident Per Day |
0.15 |
0.03 |
Number Therapy Hours Per Resident Per Day |
0.15 |
0.03 |
Environmental Deficiencies |
Deficiency #1 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/08/2012date Of Correction: 03/26/2012 |
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/20/2009date Of Correction: 06/30/2009 |
Deficiency #2 |
Scope: Fewlevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 08/17/2009date Of Correction: 09/01/2009 |
|
Deficiency #3 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/17/2009date Of Correction: 09/01/2009 |
|
Mistreatment Deficiencies |
Deficiency #1 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/03/2012date Of Correction: 02/07/2012 |
Scope: Somelevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 06/10/2010date Of Correction: 06/29/2010 |
Deficiency #2 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 01/03/2012date Of Correction: 02/07/2012 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 06/10/2010date Of Correction: 06/29/2010 |
Deficiency #3 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/10/2011date Of Correction: 11/11/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 05/20/2009date Of Correction: 06/30/2009 |
Deficiency #4 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 11/10/2011date Of Correction: 11/10/2011 |
|
Deficiency #5 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 02/08/2011date Of Correction: 03/04/2011 |
|
Deficiency #6 |
Scope: Fewlevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/11/2010date Of Correction: 05/13/2010 |
|
Deficiency #7 |
Scope: Fewlevel Of Harm: 4deficiency: 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: 05/11/2010date Of Correction: 05/13/2010 |
|
Deficiency #8 |
Scope: Fewlevel Of Harm: 4deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 05/11/2010date Of Correction: 05/13/2010 |
|
Resident Rights Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 2deficiency: Provide Access To A Telephone For Resident To Use In Private.survey Date: 08/16/2011date Of Correction: 10/19/2011 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 08/12/2011date Of Correction: 09/05/2011 |
Deficiency #2 |
Scope: Manylevel Of Harm: 2deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.survey Date: 08/16/2011date Of Correction: 10/19/2011 |
|
Deficiency #3 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 08/17/2009date Of Correction: 09/01/2009 |
|
Quality Care Deficiencies |
Deficiency #1 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 03/08/2012date Of Correction: 03/26/2012 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/19/2010date Of Correction: 12/22/2010 |
Deficiency #2 |
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 03/08/2012date Of Correction: 03/26/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 12/01/2009date Of Correction: 12/09/2009 |
Deficiency #3 |
Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 02/08/2011date Of Correction: 03/04/2011 |
Scope: Fewlevel Of Harm: 4deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 05/20/2009date Of Correction: 06/30/2009 |
Deficiency #4 |
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 02/08/2011date Of Correction: 03/04/2011 |
Scope: Fewlevel Of Harm: 4deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 05/20/2009date Of Correction: 06/30/2009 |
Deficiency #5 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/08/2011date Of Correction: 03/04/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/02/2009date Of Correction: 04/17/2009 |
Deficiency #6 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 06/02/2010date Of Correction: 06/08/2010 |
|
Deficiency #7 |
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 06/02/2010date Of Correction: 06/08/2010 |
|
Deficiency #8 |
Scope: Fewlevel Of Harm: 4deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.survey Date: 05/11/2010date Of Correction: 05/13/2010 |
|
Deficiency #9 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 08/17/2009date Of Correction: 09/01/2009 |
|
Deficiency #10 |
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/17/2009date Of Correction: 09/01/2009 |
|
Administration Deficiencies |
Deficiency #1 |
Scope: Manylevel Of Harm: 2deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 05/11/2010date Of Correction: 05/13/2010 |
Scope: Fewlevel Of Harm: 4deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .survey Date: 05/20/2009date Of Correction: 06/30/2009 |
Deficiency #2 |
Scope: Fewlevel Of Harm: 2deficiency: Ensure That All Full-time Nurse Aids Employed For More Than 4 Months Are Fully Trained And Competent To Provide Nursing And Nursing-related Services, As Defined By Federal Requirements.survey Date: 08/17/2009date Of Correction: 09/01/2009 |
|
Pharmacy Service Deficiencies |
Deficiency #1 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 09/23/2009date Of Correction: 09/06/2009 |
|
Exits and Egress Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Exits That Are Accessible At All Times.survey Date: 05/07/2009date Of Correction: 06/05/2009 |
Building Construction Deficiencies |
Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Approved Construction Type Or Materials.survey Date: 05/07/2009date Of Correction: 06/05/2009 |
Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: A Two-hour-resistant Firewall In Common Walls.survey Date: 05/07/2009date Of Correction: 06/03/2009 |
Electrical Deficiencies |
Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Weekly Inspections And Monthly Testing Of Generators.survey Date: 04/11/2012date Of Correction: 05/26/2012 |
Emergency Plans and Fire Drills Deficiencies |
Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Did Not Have A Written Emergency Evacuation Plan.survey Date: 04/11/2012date Of Correction: 04/26/2012 |
Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Did Not Have A Written Emergency Evacuation Plan.survey Date: 05/07/2009date Of Correction: 06/05/2009 |
Vertical Openings Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Proper Stairway Enclosures And Vertical Shafts.survey Date: 04/11/2012date Of Correction: 05/26/2012 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
18 % |
21.7 % |
Percent of long-stay residents whose need for help with daily activities has increased |
1.8 % |
3.2 % |
Percent of long-stay residents who self-report moderate to severe pain |
18.9 % |
12.2 % |
Percent of long-stay high-risk residents with pressure ulcers |
3.9 % |
14.9-28 |
Percent of long-stay residents who lose too much weight |
5.8 % |
4.5 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
15.2 % |
22 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.9 % |
1.3 % |
Percent of long-stay residents with a urinary tract infection |
3.9 % |
0.5 - 2.0 |
Percent of long-stay residents who have depressive symptoms |
35.3 % |
1 % |
Percent of long-stay residents who were physically restrained |
5.1 % |
0.5 - 2.0 |
Percent of short-stay residents who self-report moderate to severe pain |
21.4 % |
27 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
73.6 % |
18.4 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
75.4 % |
11.9 % |
Percent of short-stay residents who newly received an antipsychotic medication |
75.2 |
1.50 % |
Percent of long-stay residents experiencing one or more falls with major injury |
2.6 / 3 |
3.4 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
18 % |
23.1 % |
Percent of long-stay residents whose need for help with daily activities has increased |
1.2 % |
1.8 % |
Percent of long-stay residents who self-report moderate to severe pain |
18.9 % |
4.6 % |
Percent of long-stay high-risk residents with pressure ulcers |
3.9 % |
14.6 % |
Percent of long-stay residents who lose too much weight |
7.3 % |
6.3 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
22.2:1 |
23.2 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6.1 % |
1.3 % |
Percent of long-stay residents with a urinary tract infection |
4.8 % |
0.5 - 2.0 |
Percent of long-stay residents who have depressive symptoms |
23 % |
0.7 % |
Percent of long-stay residents who were physically restrained |
2.20 % |
0.3 % |
Percent of long-stay residents experiencing one or more falls with major injury |
1.7 % |
3.4 % |
Percent of short-stay residents who self-report moderate to severe pain |
27.9 % |
13.2 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
77 % |
11.7 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
72.3 % |
6.6 % |
Percent of short-stay residents who newly received an antipsychotic medication |
1.9 % |
30.1 % |