| General |
| City |
| Normal |
Westmont |
| State attribute explanation |
| Il |
Il |
| Street |
| 510 Broadway |
5801 South Cass Avenue |
| Zip Code |
| 61,761 |
60,559 |
| Phone |
| 3,094,524,406 |
6,309,712,645 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 3 |
5 |
|
Number of Certified Beds |
| 116 |
203 |
|
Total Number of Residents |
| 89 |
158 |
|
Percent of Occupied Beds |
| 77 % |
78 % |
| Health Survey Date |
| 10/20/2011 |
11/18/2011 |
| Fire Survey Date |
| 11/4/2011 |
12/7/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| 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 |
| 2 |
75.2 |
| Total Enforcement Actions Count |
| 2 |
75.2 |
| # of deficiencies |
| 12 |
3 |
|
| Staff Information |
| Number of Residents |
| 89 |
158 |
| Number of RN Hours Per Resident Per Day |
| 0.72 |
1.32 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.9 |
0.71 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.61 |
2.03 |
| Number of CNA Hours Per Resident Per Day |
| 0.23 |
0.38 |
| Number Therapy Hours Per Resident Per Day |
| 0.23 |
0.38 |
| 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: 05/31/2011date Of Correction: 06/28/2011 |
| Deficiency #2 |
|
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: 07/22/2010date Of Correction: 08/21/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: 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: 03/26/2010date Of Correction: 03/26/2010 |
|
| 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: 12/03/2010date Of Correction: 12/17/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 02/19/2010date Of Correction: 03/17/2010 |
|
| 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: 02/19/2010date Of Correction: 03/17/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 05/20/2009date Of Correction: 06/05/2009 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/16/2009date Of Correction: 05/08/2009 |
|
| 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: 04/16/2009date Of Correction: 05/08/2009 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/16/2009date Of Correction: 05/08/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home.survey Date: 12/03/2010date Of Correction: 12/17/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 09/22/2009date Of Correction: 10/13/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 12/03/2010date Of Correction: 12/17/2010 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 12/03/2010date Of Correction: 12/17/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 07/09/2010date Of Correction: 03/23/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.5 % |
18.1:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
0.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.5 % |
3.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.1 % |
1.2 % |
| Percent of long-stay residents who lose too much weight |
| 8.3 % |
7.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 69.2 % |
56.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4 % |
3.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
2.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.4 % |
8 % |
| Percent of long-stay residents who were physically restrained |
| 1.9 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.2:1 |
15.9:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 84.9 % |
88.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.5 % |
89.3 % |
| 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 |
| 3.7 % |
4.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 9.4 / 10.4 |
18.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 19.4:1 |
3.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.9 % |
3.2 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 68.4 % |
50.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.2 % |
3 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
5.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.8 % |
7.6 % |
| Percent of long-stay residents who were physically restrained |
| 0.6 % |
0.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.2 % |
4.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.4 % |
12 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.3 % |
78.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.9 % |
80 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11.6:1 |
16.2 % |