| General |
| City |
| Du Quoin |
Evanston |
| State attribute explanation |
| Il |
Il |
| Street |
| 514 East Jackson |
3200 Grant Street |
| Zip Code |
| 62,832 |
60,201 |
| Phone |
| 6,185,424,731 |
8,474,924,800 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 2 |
5 |
|
Nurse Staffing Star Rating |
|
5 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
|
5 |
|
Number of Certified Beds |
| 74 |
105 |
|
Total Number of Residents |
| 50 |
82 |
|
Percent of Occupied Beds |
| 68 % |
78 % |
| Health Survey Date |
| 6/8/2012 |
10/13/2011 |
| Fire Survey Date |
| 6/6/2012 |
10/13/2011 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
Yes |
| 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 |
|
|
| Staff Information |
| Number of Residents |
| 50 |
82 |
| Number of RN Hours Per Resident Per Day |
|
1.96 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.15 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
2.11 |
| Number of CNA Hours Per Resident Per Day |
|
0.33 |
| Number Therapy Hours Per Resident Per Day |
|
0.33 |
| 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 Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31 % |
10.7:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
1.50 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
10 % |
| Percent of long-stay residents who lose too much weight |
| 2.6 / 3 |
10.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
65 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10.4 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
9.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 5 % |
10.7:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
1.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
99.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81 % |
96.1 % |
| 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 % |
3.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.4 % |
10.3:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.1 % |
1.50 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.9:1 |
8.2 % |
| Percent of long-stay residents who lose too much weight |
| 2.4 % |
8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 27.8 (82.0) |
56.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.4 % |
1.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.4 % |
6.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.3 % |
7.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
4.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
1.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.4 % |
99.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 9.9:1 |
95.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
3.1 % |