| General |
| City |
| Peoria |
Nokomis |
| State attribute explanation |
| Il |
Il |
| Street |
| 5600 Glen Elm Drive |
505 Stevens Street |
| Zip Code |
| 61,614 |
62,075 |
| Phone |
| 3,096,938,777 |
2,175,637,725 |
|
Overall Star Rating |
| 2 |
4 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 1 |
2 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 2 |
3 |
|
Number of Certified Beds |
| 144 |
92 |
|
Total Number of Residents |
| 128 |
41 |
|
Percent of Occupied Beds |
| 89 % |
45 % |
| Health Survey Date |
| 10/7/2011 |
11/3/2011 |
| Fire Survey Date |
| 10/6/2011 |
11/10/2011 |
| Sprinkler Status |
| Partially Sprinklered |
Partially 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 |
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 |
| 13 |
7 |
|
| Staff Information |
| Number of Residents |
| 128 |
41 |
| Number of RN Hours Per Resident Per Day |
| 0.6 |
0.57 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.89 |
0.71 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.49 |
1.28 |
| Number of CNA Hours Per Resident Per Day |
| 0.14 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.14 |
0.01 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 10/21/2010date Of Correction: 10/29/2010 |
| 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: 09/23/2009date Of Correction: 10/09/2009 |
| 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: 07/25/2011date Of Correction: 08/10/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 10/07/2011date Of Correction: 11/04/2011 |
Scope: Somelevel Of Harm: 1deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 09/23/2009date Of Correction: 10/09/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: 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: 12/04/2009date Of Correction: 01/03/2010 |
Scope: Somelevel Of Harm: 1deficiency: Let The Resident Or The Resident's Legal Representative The Right To Access Or Purchase Copies Of All Records.survey Date: 09/23/2009date Of Correction: 10/09/2009 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Notice To The Resident Before A Room Or Roommate Change.survey Date: 09/30/2009date Of Correction: 10/16/2009 |
|
| Deficiency #4 |
| 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: 09/30/2009date Of Correction: 10/16/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/26/2010date Of Correction: 06/11/2010 |
Scope: Manylevel Of Harm: 2deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.survey Date: 09/23/2009date Of Correction: 10/15/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/26/2010date Of Correction: 06/21/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/04/2009date Of Correction: 01/03/2010 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 09/30/2009date Of Correction: 10/16/2009 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/30/2009date Of Correction: 10/16/2009 |
|
| Deficiency #6 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/24/2009date Of Correction: 08/07/2009 |
|
| 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: 09/23/2009date Of Correction: 10/09/2009 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 1deficiency: Post Nurse Staffing Information/data On A Daily Basis.survey Date: 07/25/2011date Of Correction: 08/10/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 03/26/2010date Of Correction: 06/11/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 1deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 09/23/2009date Of Correction: 10/09/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 29 % |
30.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.3 % |
9.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
|
| Percent of long-stay residents who lose too much weight |
| 15.6 % |
16.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 67.7 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.6 % |
6.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
2.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.4 % |
5 % |
| 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 |
| 15.3 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.6 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.1 % |
|
| 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 |
| 4.4 % |
11.6:1 |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27 % |
30.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.2 % |
10.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.3 % |
10.4 % |
| Percent of long-stay residents who lose too much weight |
| 14.9-28 |
15.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 68.8 % |
38.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.5 % |
4.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.7 % |
6 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.5 % |
6.9 % |
| 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 |
| 3.4 % |
8.1 / 8.8 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.6 % |
41.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.1 % |
89.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.2 % |
83 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 14.9-28 |
8 % |