| General |
| City |
| Du Quoin |
Carlinville |
| State attribute explanation |
| Il |
Il |
| Street |
| 514 East Jackson |
751 North Oak Street |
| Zip Code |
| 62,832 |
62,626 |
| Phone |
| 6,185,424,731 |
2,178,542,511 |
|
Overall Star Rating |
| 3 |
4 |
|
Health Inspections Star Rating |
| 2 |
3 |
|
Nurse Staffing Star Rating |
|
4 |
|
Quality Measures Star Rating |
| 5 |
2 |
|
RN Only Star Rating |
|
3 |
|
Number of Certified Beds |
| 74 |
98 |
|
Total Number of Residents |
| 50 |
72 |
|
Percent of Occupied Beds |
| 68 % |
73 % |
| Health Survey Date |
| 6/8/2012 |
9/7/2011 |
| Fire Survey Date |
| 6/6/2012 |
10/12/2011 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Individual |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
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 |
75.2 |
| # of deficiencies |
| 2 |
8 |
|
| Staff Information |
| Number of Residents |
| 50 |
72 |
| Number of RN Hours Per Resident Per Day |
|
0.62 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.67 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
1.28 |
| 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 |
|
| 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: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/20/2010date Of Correction: 05/04/2010 |
| 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: 04/20/2010date Of Correction: 05/04/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel 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: 02/22/2012date Of Correction: 03/05/2012 |
| 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: 02/17/2010date Of Correction: 03/04/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 09/07/2011date Of Correction: 09/23/2011 |
| 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: 08/05/2011date Of Correction: 08/12/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: 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: 06/02/2011date Of Correction: 06/22/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 02/17/2010date Of Correction: 03/04/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31 % |
22.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
8.1 / 8.8 |
| 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 |
7.9:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10.4 % |
11.8:1 |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
4.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
7.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
20 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
92.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81 % |
78.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
7.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.4 % |
27.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
3.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.1 % |
7.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.9:1 |
5.5 % |
| Percent of long-stay residents who lose too much weight |
| 2.4 % |
7.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 27.8 (82.0) |
15.9:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.4 % |
10.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.4 % |
9.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.3 % |
6.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
6.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
15.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.4 % |
89.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 9.9:1 |
75.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
21.5 % |