| General |
| City |
| Evanston |
Belleville |
| State attribute explanation |
| Il |
Il |
| Street |
| 500 Asbury Street |
40 North 64th Street |
| Zip Code |
| 60,202 |
62,223 |
| Phone |
| 8,473,163,320 |
6,183,978,400 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 2 |
1 |
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 3 |
1 |
|
Number of Certified Beds |
| 124 |
120 |
|
Total Number of Residents |
| 92 |
90 |
|
Percent of Occupied Beds |
| 74 % |
75 % |
| Health Survey Date |
| 1/20/2012 |
6/5/2012 |
| Fire Survey Date |
| 2/22/2012 |
5/31/2012 |
| Sprinkler Status |
| Fully 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? |
| Yes |
Yes |
| Resident and Family Councils |
| None |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 3 |
24 |
|
| Staff Information |
| Number of Residents |
| 92 |
90 |
| Number of RN Hours Per Resident Per Day |
| 0.65 |
0.43 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.71 |
0.79 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.36 |
1.21 |
| Number of CNA Hours Per Resident Per Day |
| 0.14 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.14 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 06/05/2012date Of Correction: 07/01/2012 |
| Deficiency #2 |
|
Scope: Somelevel 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: 06/05/2012date Of Correction: 07/01/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 1deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 04/24/2012date Of Correction: 05/18/2012 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 10/05/2011date Of Correction: 11/04/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 11/24/2010date Of Correction: 12/24/2010 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 1deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 11/24/2010date Of Correction: 12/24/2010 |
| 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 |
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 10/05/2011date Of Correction: 11/04/2011 |
| 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 |
|
| 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: 10/05/2011date Of Correction: 11/04/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 11/24/2010date Of Correction: 12/24/2010 |
| Deficiency #3 |
|
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: 01/05/2010date Of Correction: 01/08/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 03/26/2012date Of Correction: 04/16/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 10/05/2011date Of Correction: 11/04/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 10/05/2011date Of Correction: 11/04/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 10/05/2011date Of Correction: 11/04/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/05/2011date Of Correction: 11/04/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 11/24/2010date Of Correction: 12/24/2010 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 11/24/2010date Of Correction: 12/24/2010 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 11/24/2010date Of Correction: 12/24/2010 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 01/05/2010date Of Correction: 01/08/2010 |
| Deficiency #10 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 01/05/2010date Of Correction: 01/08/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 03/05/2010date Of Correction: 03/08/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 06/30/2010date Of Correction: 07/23/2010 |
| 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 |
Scope: Somelevel 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: 11/24/2010date Of Correction: 12/24/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/24/2010date Of Correction: 12/24/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.9 % |
8.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
21.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5 % |
6.6 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
10.1:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.7 % |
15 % |
| Percent of long-stay residents with a urinary tract infection |
| 25 % |
11.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.8 % |
3.2 % |
| 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 % |
21.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.3 % |
75 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.8 % |
58.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
9.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.7 % |
2.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 7.1 % |
7.9:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
6.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 0.6 % |
23.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
7.9:1 |
| Percent of long-stay residents who lose too much weight |
| 12.7 % |
32.4 (90.3) |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.8 % |
45.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.2 % |
12.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 14.5 % |
10.3:1 |
| Percent of long-stay residents who have depressive symptoms |
| 5.2 % |
5 % |
| Percent of long-stay residents who were physically restrained |
| 5.1 % |
1.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.1 % |
3.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 3.4 % |
38.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.9 % |
70.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.6 % |
52.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
5.6:1 |