| General |
| City |
| Evanston |
Shelbyville |
| State attribute explanation |
| Il |
Il |
| Street |
| 500 Asbury Street |
1111 West North 12th Street |
| Zip Code |
| 60,202 |
62,565 |
| Phone |
| 8,473,163,320 |
2,177,742,111 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 124 |
115 |
|
Total Number of Residents |
| 92 |
73 |
|
Percent of Occupied Beds |
| 74 % |
63 % |
| Health Survey Date |
| 1/20/2012 |
5/25/2012 |
| Fire Survey Date |
| 2/22/2012 |
5/24/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Partially 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? |
| Yes |
Yes |
| 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 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
1 |
| # of deficiencies |
| 3 |
4 |
|
| Staff Information |
| Number of Residents |
| 92 |
73 |
| Number of RN Hours Per Resident Per Day |
| 0.65 |
0.58 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.71 |
0.52 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.36 |
1.1 |
| Number of CNA Hours Per Resident Per Day |
| 0.14 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.14 |
0.04 |
| 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: 01/27/2011date Of Correction: 01/27/2011 |
| 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: 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: 01/27/2011date Of Correction: 01/27/2011 |
| 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 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident.survey Date: 04/10/2009date Of Correction: 04/23/2009 |
| Deficiency #2 |
|
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: 04/10/2009date Of Correction: 05/06/2009 |
| 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 % |
20 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
6.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5 % |
8.5 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
16.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.7 % |
3.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 25 % |
11.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.8 % |
1.50 % |
| 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 % |
17.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.3 % |
92.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.8 % |
96.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
4.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.7 % |
6.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 7.1 % |
25.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
4.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 0.6 % |
10.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
8.1 / 8.8 |
| Percent of long-stay residents who lose too much weight |
| 12.7 % |
13.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.8 % |
22.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.2 % |
8.1 / 8.8 |
| Percent of long-stay residents with a urinary tract infection |
| 14.5 % |
8.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.2 % |
2.1 % |
| 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 % |
5.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 3.4 % |
20.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.9 % |
94.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.6 % |
98.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
27.2 % |