| General |
| City |
| Macomb |
Lake Bluff |
| State attribute explanation |
| Il |
Il |
| Street |
| 8 Doctors Lane |
700 Jenkisson |
| Zip Code |
| 61,455 |
60,044 |
| Phone |
| 3,098,335,555 |
8,472,953,900 |
|
Overall Star Rating |
| 5 |
2 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 5 |
5 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 80 |
231 |
|
Total Number of Residents |
| 67 |
96 |
|
Percent of Occupied Beds |
| 84 % |
42 % |
| Health Survey Date |
| 11/4/2011 |
6/14/2012 |
| Fire Survey Date |
| 11/8/2011 |
6/12/2012 |
| 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 |
| Resident |
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 |
| 75.2 |
75.2 |
| # of deficiencies |
| 1 |
2 |
|
| Staff Information |
| Number of Residents |
| 67 |
96 |
| Number of RN Hours Per Resident Per Day |
| 1.17 |
0.48 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.44 |
0.12 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.61 |
0.6 |
| Number of CNA Hours Per Resident Per Day |
| 0.29 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.29 |
0.03 |
| 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: 10/26/2011date Of Correction: 11/03/2011 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 04/30/2009date Of Correction: 05/30/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 09/28/2009date Of Correction: 10/14/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 9.1 % |
12.8:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.50 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
|
6.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.8 % |
|
| Percent of long-stay residents who lose too much weight |
| 2.20 % |
3.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
21.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 11.5 % |
2.20 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 31.6 % |
10.1:1 |
| 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 |
| 5.7 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.3 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.2 % |
|
| 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 |
| 2.20 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 11 % |
12.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.2 % |
2.5 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 2.1 % |
7.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.9 % |
5.9 % |
| Percent of long-stay residents who lose too much weight |
| 6.2 % |
2.6 / 3 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 30.8 % |
20 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.8 % |
2.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
2.20 % |
| Percent of long-stay residents who have depressive symptoms |
| 29.4 % |
8.3 % |
| 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 |
| 1.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 13.9 / 15.3 |
16.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.4 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.3 % |
95.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 22.4:1 |
|