| General |
| City |
| Galesburg |
Belleville |
| State attribute explanation |
| Il |
Il |
| Street |
| 280 East Losey Street |
4315 Memorial Drive |
| Zip Code |
| 61,401 |
62,226 |
| Phone |
| 3,093,432,166 |
6,182,575,060 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 4 |
5 |
|
Nurse Staffing Star Rating |
| 1 |
5 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 1 |
5 |
|
Number of Certified Beds |
| 84 |
108 |
|
Total Number of Residents |
| 67 |
57 |
|
Percent of Occupied Beds |
| 80 % |
53 % |
| Health Survey Date |
| 1/11/2012 |
2/2/2012 |
| Fire Survey Date |
| 1/11/2012 |
2/14/2012 |
| Sprinkler Status |
| Fully 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? |
| Yes |
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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 2 |
2 |
|
| Staff Information |
| Number of Residents |
| 67 |
57 |
| Number of RN Hours Per Resident Per Day |
| 0.44 |
2.12 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.89 |
0.35 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.33 |
2.47 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.11 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 08/04/2009date Of Correction: 08/18/2009 |
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 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 08/04/2009date Of Correction: 08/18/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10 % |
|
| 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 self-report moderate to severe pain |
| 24.8 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.1 % |
|
| Percent of long-stay residents who lose too much weight |
| 19.6 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 61.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.9 / 9.9 |
|
| Percent of long-stay residents with a urinary tract infection |
| 3.9 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
|
| Percent of long-stay residents who were physically restrained |
| 2 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.1 % |
21.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.7 % |
89.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.9 % |
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 |
| 5.9 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.9 / 9.9 |
|
| 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 |
| 19.4:1 |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.4 % |
|
| Percent of long-stay residents who lose too much weight |
| 18.7 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 51.3 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 13.1:1 |
|
| Percent of long-stay residents with a urinary tract infection |
| 7.1 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
|
| Percent of long-stay residents who were physically restrained |
| 1.9 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.6 % |
22.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.9 % |
86 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.9 % |
91.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 27.4 % |
1.3 % |