| General |
| City |
| Evanston |
Joliet |
| State attribute explanation |
| Il |
Il |
| Street |
| 120 Dodge Avenue |
777 |
| Zip Code |
| 60,202 |
60,432 |
| Phone |
| 8,478,697,744 |
8,157,274,794 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
2 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 97 |
168 |
|
Total Number of Residents |
| 93 |
141 |
|
Percent of Occupied Beds |
| 96 % |
84 % |
| Health Survey Date |
| 8/31/2011 |
11/15/2011 |
| Fire Survey Date |
| 11/9/2011 |
10/19/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| 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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
16 |
|
| Staff Information |
| Number of Residents |
| 93 |
141 |
| Number of RN Hours Per Resident Per Day |
| 0.85 |
0.47 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.14 |
0.57 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 0.99 |
1.05 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.04 |
| Environmental Deficiencies |
| Deficiency #1 |
|
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: 02/07/2012date Of Correction: 02/24/2012 |
| Deficiency #2 |
|
Scope: Somelevel 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: 11/15/2011date Of Correction: 01/12/2012 |
| Deficiency #3 |
|
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: 06/11/2010date Of Correction: 07/02/2010 |
| 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: 02/03/2012date Of Correction: 02/22/2012 |
| 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: 11/15/2011date Of Correction: 12/02/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 11/15/2011date Of Correction: 12/02/2011 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 4deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 11/15/2011date Of Correction: 12/02/2011 |
| 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: 02/16/2010date Of Correction: 02/23/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/06/2012date Of Correction: 04/25/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 02/03/2012date Of Correction: 02/24/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 11/15/2011date Of Correction: 12/02/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 11/15/2011date Of Correction: 12/02/2011 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Proper Discharge Planning And Communication, Of The Resident's Health Status And Summary Of The Resident's Stay.survey Date: 04/06/2012date Of Correction: 04/25/2012 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 03/21/2012date Of Correction: 04/06/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.survey Date: 02/03/2012date Of Correction: 02/24/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 4deficiency: 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: 02/03/2012date Of Correction: 02/24/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.7 % |
52.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.5 % |
17.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.7 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 5.4 % |
8.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 59.1 % |
6.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1 % |
1.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 10.8 % |
2.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 31.2 % |
14.6 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
4.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.5 % |
52.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.8 % |
5.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3 % |
15 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.2 % |
4.1 % |
| Percent of long-stay residents who lose too much weight |
| 4.4 % |
9.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.3 % |
7.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1 % |
1.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 10 % |
2.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 22.5 % |
12.9 (55.2) |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.50 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
11.8:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.9-28 |
31.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.7 % |
45.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.2 % |
54.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.8 % |
|