| General |
| City |
| Evanston |
Breese |
| State attribute explanation |
| Il |
Il |
| Street |
| 500 Asbury Street |
1155 North First Street |
| Zip Code |
| 60,202 |
62,230 |
| Phone |
| 8,473,163,320 |
6,185,264,521 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
3 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 124 |
112 |
|
Total Number of Residents |
| 92 |
67 |
|
Percent of Occupied Beds |
| 74 % |
60 % |
| Health Survey Date |
| 1/20/2012 |
1/26/2012 |
| Fire Survey Date |
| 2/22/2012 |
2/7/2012 |
| Sprinkler Status |
| Fully 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? |
| Yes |
No |
| Resident and Family Councils |
| None |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 3 |
|
|
| Staff Information |
| Number of Residents |
| 92 |
67 |
| Number of RN Hours Per Resident Per Day |
| 0.65 |
0.52 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.71 |
0.73 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.36 |
1.25 |
| Number of CNA Hours Per Resident Per Day |
| 0.14 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.14 |
0.08 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| 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: 04/03/2012date Of Correction: 05/18/2012 |
|
| 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: 02/28/2011date Of Correction: 03/03/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/03/2012date Of Correction: 05/18/2012 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.9 % |
19.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
7.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
1.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5 % |
3 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
6.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
55.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.7 % |
1.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 25 % |
11.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.8 % |
13.3 % |
| Percent of long-stay residents who were physically restrained |
| 5.7 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 4.3 % |
25 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.3 % |
93.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.8 % |
90.3 % |
| 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 |
| 5.7 % |
4.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 7.1 % |
20.7 (69.3) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
13.9 / 15.3 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 0.6 % |
1.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
9.5 % |
| Percent of long-stay residents who lose too much weight |
| 12.7 % |
5.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.8 % |
50.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.2 % |
2.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 14.5 % |
21.2:1 |
| Percent of long-stay residents who have depressive symptoms |
| 5.2 % |
15.5 % |
| Percent of long-stay residents who were physically restrained |
| 5.1 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.1 % |
3.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 3.4 % |
24.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.9 % |
92.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.6 % |
75.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 % |