| General |
| City |
| Du Quoin |
Belleville |
| State attribute explanation |
| Il |
Il |
| Street |
| 514 East Jackson |
4315 Memorial Drive |
| Zip Code |
| 62,832 |
62,226 |
| Phone |
| 6,185,424,731 |
6,182,575,060 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 2 |
5 |
|
Nurse Staffing Star Rating |
|
5 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
|
5 |
| Number of Certified Beds |
| 74 |
108 |
|
Total Number of Residents |
| 50 |
57 |
|
Percent of Occupied Beds |
| 68 % |
53 % |
| Health Survey Date |
| 6/8/2012 |
2/2/2012 |
| Fire Survey Date |
| 6/6/2012 |
2/14/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Other |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| 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 |
2 |
|
| Staff Information |
| Number of Residents |
| 50 |
57 |
| Number of RN Hours Per Resident Per Day |
|
2.12 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.35 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
2.47 |
| Number of CNA Hours Per Resident Per Day |
|
0.11 |
| Number Therapy Hours Per Resident Per Day |
|
0.11 |
| 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 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/17/2009date Of Correction: 10/12/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/17/2009date Of Correction: 10/12/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents who lose too much weight |
| 2.6 / 3 |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10.4 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
|
21.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
89.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81 % |
95.9 % |
| 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 |
| 75.2 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.4 % |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.1 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.9:1 |
|
| Percent of long-stay residents who lose too much weight |
| 2.4 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 27.8 (82.0) |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.4 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 2.4 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 7.3 % |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
22.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.4 % |
86 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 9.9:1 |
91.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
1.3 % |