| General |
| City |
| Wheaton |
Norridge |
| State attribute explanation |
| Il |
Il |
| Street |
| 400 N County Farm Rd Po Box708 |
7001 West Cullom |
| Zip Code |
| 60,187 |
60,634 |
| Phone |
| 6,306,656,400 |
7,084,570,700 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 508 |
292 |
|
Total Number of Residents |
| 320 |
266 |
|
Percent of Occupied Beds |
| 63 % |
91 % |
| Health Survey Date |
| 9/15/2011 |
1/13/2012 |
| Fire Survey Date |
| 9/15/2011 |
2/2/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Both |
| 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 |
| 7 |
11 |
|
| Staff Information |
| Number of Residents |
| 320 |
266 |
| Number of RN Hours Per Resident Per Day |
| 1.12 |
1.14 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.31 |
0.32 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.43 |
1.46 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.09 |
| 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: 09/15/2011date Of Correction: 10/07/2011 |
| Deficiency #2 |
|
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: 08/09/2011date Of Correction: 09/02/2011 |
| 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: 03/04/2010date Of Correction: 03/18/2010 |
| 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: 02/04/2010date Of Correction: 03/04/2010 |
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: 08/09/2011date Of Correction: 09/02/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| 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: 12/07/2011date Of Correction: 12/13/2011 |
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: 03/04/2010date Of Correction: 03/18/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 09/25/2009date Of Correction: 11/02/2009 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.survey Date: 06/01/2009date Of Correction: 07/16/2009 |
|
| 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: 12/07/2011date Of Correction: 12/13/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/09/2011date Of Correction: 09/02/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/25/2009date Of Correction: 11/02/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/04/2010date Of Correction: 11/29/2010 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/01/2009date Of Correction: 07/16/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/04/2010date Of Correction: 11/29/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/04/2010date Of Correction: 03/18/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.survey Date: 03/04/2010date Of Correction: 03/18/2010 |
| 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: 11/04/2010date Of Correction: 11/29/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.7 (69.3) |
16.9-24 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11 % |
12.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.2 % |
6.8 % |
| Percent of long-stay residents who lose too much weight |
| 4.6 % |
4.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.7 % |
82.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.1 % |
5.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.3 % |
10.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 18.8 % |
7.9:1 |
| Percent of long-stay residents who were physically restrained |
| 3.3 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 34.9 % |
22.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.4 % |
82.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.4 % |
81.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.1 % |
4.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2 % |
2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.8 % |
15.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.5 % |
9.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.3 % |
8.9 / 9.9 |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
7.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 55.6 % |
78.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.4 % |
5.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.8 % |
7.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 19.1:1 |
6.8 % |
| Percent of long-stay residents who were physically restrained |
| 3.8 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.50 % |
2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 41.2 % |
21.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.7 % |
72.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.5 % |
69.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.9:1 |
3.7 % |