| General |
| City |
| Du Quoin |
Bloomington |
| State attribute explanation |
| Il |
Il |
| Street |
| 514 East Jackson |
1509 North Calhoun Street |
| Zip Code |
| 62,832 |
61,701 |
| Phone |
| 6,185,424,731 |
3,098,276,046 |
|
Overall Star Rating |
| 3 |
1 |
|
Health Inspections Star Rating |
| 2 |
1 |
|
Nurse Staffing Star Rating |
|
1 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
|
1 |
|
Number of Certified Beds |
| 74 |
115 |
|
Total Number of Residents |
| 50 |
83 |
|
Percent of Occupied Beds |
| 68 % |
72 % |
| Health Survey Date |
| 6/8/2012 |
3/22/2012 |
| Fire Survey Date |
| 6/6/2012 |
3/26/2012 |
| Sprinkler Status |
| Partially 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? |
| 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 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 2 |
19 |
|
| Staff Information |
| Number of Residents |
| 50 |
83 |
| Number of RN Hours Per Resident Per Day |
|
0.31 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.54 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
0.85 |
| Number of CNA Hours Per Resident Per Day |
|
0.01 |
| Number Therapy Hours Per Resident Per Day |
|
0.01 |
| 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: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 10/08/2010date Of Correction: 01/05/2011 |
| 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 |
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: 08/05/2010date Of Correction: 08/16/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 02/07/2012date Of Correction: 03/22/2012 |
| 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: 11/30/2010date Of Correction: 01/18/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 4deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 10/22/2009date Of Correction: 10/22/2009 |
| 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: 02/07/2012date Of Correction: 03/22/2012 |
| Deficiency #2 |
|
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: 11/30/2011date Of Correction: 12/16/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 11/30/2010date Of Correction: 01/05/2011 |
| Deficiency #4 |
|
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: 11/30/2010date Of Correction: 01/05/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
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: 02/07/2012date Of Correction: 03/22/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 02/07/2012date Of Correction: 03/22/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 02/07/2012date Of Correction: 03/22/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/30/2011date Of Correction: 12/16/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 11/30/2010date Of Correction: 01/05/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/04/2010date Of Correction: 05/25/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 02/07/2012date Of Correction: 03/22/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 11/30/2010date Of Correction: 01/05/2011 |
| 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: 11/30/2010date Of Correction: 01/05/2011 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.survey Date: 09/06/2011date Of Correction: 09/21/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31 % |
39.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
9.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 2.6 / 3 |
16 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
32.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10.4 % |
3.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
4 % |
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
24.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
10 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
25 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
75 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81 % |
47.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
3.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
3.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.4 % |
36.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.1 % |
10.3:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.9:1 |
1.7 % |
| Percent of long-stay residents who lose too much weight |
| 2.4 % |
23.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 27.8 (82.0) |
33.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.4 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.4 % |
3.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.3 % |
20.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
13.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
4.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
27.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.4 % |
75.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 9.9:1 |
36.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
2.9 % |