| General |
| City |
| Chicago |
Toulon |
| State attribute explanation |
| Il |
Il |
| Street |
| 504 West Wellington Avenue |
Highway 17 East P O Box 209 |
| Zip Code |
| 60,657 |
61,483 |
| Phone |
| 7,732,816,200 |
3,092,862,631 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
1 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 96 |
136 |
|
Total Number of Residents |
| 81 |
92 |
|
Percent of Occupied Beds |
| 84 % |
68 % |
| Health Survey Date |
| 8/31/2011 |
11/9/2011 |
| Fire Survey Date |
| 9/8/2011 |
11/17/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully 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 |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 9 |
4 |
|
| Staff Information |
| Number of Residents |
| 81 |
92 |
| Number of RN Hours Per Resident Per Day |
| 0.89 |
0.56 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.5 - 2.0 |
0.73 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.39 |
1.29 |
| Number of CNA Hours Per Resident Per Day |
| 0.07 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.07 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/22/2011date Of Correction: 05/02/2011 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| 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: 11/01/2011date Of Correction: 11/16/2011 |
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: 06/24/2011date Of Correction: 06/24/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Properly Hold, Secure And Manage Each Resident's Personal Money Which Is Deposited With The Nursing Home.survey Date: 11/01/2011date Of Correction: 11/16/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/01/2011date Of Correction: 04/20/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/24/2011date Of Correction: 06/24/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/20/2010date Of Correction: 07/22/2010 |
Scope: Fewlevel Of Harm: 2deficiency: 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: 08/06/2009date Of Correction: 08/21/2009 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/13/2010date Of Correction: 05/15/2010 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 12/03/2009date Of Correction: 12/08/2009 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/03/2009date Of Correction: 12/08/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.survey Date: 11/01/2011date Of Correction: 11/16/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.survey Date: 11/01/2011date Of Correction: 11/16/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.1 % |
38.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.9 % |
6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.5 % |
8.1 / 8.8 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7 % |
15 % |
| Percent of long-stay residents who lose too much weight |
| 10.7:1 |
17.3:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 23.5 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.6 / 3 |
2.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
21 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.8 % |
33.7 % |
| Percent of long-stay residents who were physically restrained |
| 1.3 % |
2.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.2:1 |
18.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.7 % |
75 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 89.8 % |
84.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
4.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.7 % |
8.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.8 % |
40.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.6 % |
4.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 17.8:1 |
7.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
11 % |
| Percent of long-stay residents who lose too much weight |
| 15.9:1 |
15.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 25.5 % |
35.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.8 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.3 % |
27.8 (82.0) |
| Percent of long-stay residents who have depressive symptoms |
| 5.9 % |
34.5 % |
| Percent of long-stay residents who were physically restrained |
| 2.20 % |
4.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.8 % |
10 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.9:1 |
18.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 76 % |
75.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 79.4 % |
90.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
2.8 % |