| General |
| City |
| Du Quoin |
Chicago |
| State attribute explanation |
| Il |
Il |
| Street |
| 514 East Jackson |
201 West 69th Street |
| Zip Code |
| 62,832 |
60,621 |
| Phone |
| 6,185,424,731 |
7,734,871,200 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
|
1 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
|
2 |
|
Number of Certified Beds |
| 74 |
300 |
|
Total Number of Residents |
| 50 |
225 |
|
Percent of Occupied Beds |
| 68 % |
75 % |
| Health Survey Date |
| 6/8/2012 |
5/11/2012 |
| Fire Survey Date |
| 6/6/2012 |
5/15/2012 |
| Sprinkler Status |
| Partially 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? |
| No |
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 |
| 1 |
2 |
| Total Enforcement Actions Count |
| 1 |
2 |
| # of deficiencies |
| 2 |
18 |
|
| Staff Information |
| Number of Residents |
| 50 |
225 |
| Number of RN Hours Per Resident Per Day |
|
0.42 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.53 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
0.95 |
| Number of CNA Hours Per Resident Per Day |
|
0.03 |
| Number Therapy Hours Per Resident Per Day |
|
0.03 |
| 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: 12/20/2011date Of Correction: 02/10/2012 |
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: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/13/2011date Of Correction: 04/29/2011 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
|
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: 06/10/2010date Of Correction: 06/29/2010 |
| Deficiency #3 |
|
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 |
| 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: 08/12/2011date Of Correction: 09/05/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
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: 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: 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: 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: 04/02/2009date Of Correction: 04/17/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
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 |
| 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 |
| 31 % |
21.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
3.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
12.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
14.9-28 |
| Percent of long-stay residents who lose too much weight |
| 2.6 / 3 |
4.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
22 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10.4 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.5 - 2.0 |
| Percent of short-stay residents who self-report moderate to severe pain |
|
27 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
18.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81 % |
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 |
| 75.2 % |
3.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.4 % |
23.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.1 % |
4.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.9:1 |
14.6 % |
| Percent of long-stay residents who lose too much weight |
| 2.4 % |
6.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 27.8 (82.0) |
23.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.4 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.4 % |
0.5 - 2.0 |
| Percent of long-stay residents who have depressive symptoms |
| 7.3 % |
0.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
3.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
13.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.4 % |
11.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 9.9:1 |
6.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
30.1 % |