| General |
| City |
| Bloomington |
Moline |
| State attribute explanation |
| Il |
Il |
| Street |
| 700 East Walnut |
833 Sixteenth Avenue |
| Zip Code |
| 61,701 |
61,265 |
| Phone |
| 3,098,278,004 |
3,097,646,744 |
|
Overall Star Rating |
| 3 |
4 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
1 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 3 |
1 |
|
Number of Certified Beds |
| 111 |
149 |
|
Total Number of Residents |
| 86 |
130 |
|
Percent of Occupied Beds |
| 77 % |
87 % |
| Health Survey Date |
| 1/26/2012 |
12/7/2011 |
| Fire Survey Date |
| 2/3/2012 |
12/20/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully 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 |
Yes |
| 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 |
| 9 |
2 |
|
| Staff Information |
| Number of Residents |
| 86 |
130 |
| Number of RN Hours Per Resident Per Day |
| 0.62 |
0.5 - 2.0 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.72 |
0.82 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.33 |
1.32 |
| Number of CNA Hours Per Resident Per Day |
| 0.14 |
0.21 |
| Number Therapy Hours Per Resident Per Day |
| 0.14 |
0.21 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/27/2010date Of Correction: 09/10/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/02/2010date Of Correction: 06/03/2010 |
|
| 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: 08/27/2010date Of Correction: 09/10/2010 |
|
| 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: 11/04/2010date Of Correction: 11/26/2010 |
|
| 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: 03/11/2010date Of Correction: 03/24/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/04/2010date Of Correction: 11/26/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/25/2012date Of Correction: 05/02/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 03/11/2010date Of Correction: 03/24/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 06/02/2010date Of Correction: 06/03/2010 |
Scope: Manylevel Of Harm: 1deficiency: Post Nurse Staffing Information/data On A Daily Basis.survey Date: 07/28/2009date Of Correction: 07/28/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 03/11/2010date Of Correction: 03/24/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.1 % |
32.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.6 % |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
1.50 % |
| Percent of long-stay residents who lose too much weight |
| 6.9 % |
13 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.8 % |
7.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
5.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.4 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.1 % |
7.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 57.8 % |
95.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 67.5 % |
96.9 % |
| 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 |
| 4.1 % |
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 16.3:1 |
29.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.2 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.7 % |
2.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.7 % |
0.9 % |
| Percent of long-stay residents who lose too much weight |
| 13.5 % |
9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 40.9 % |
75.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.4 % |
5.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.9 % |
3.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 13 % |
1.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.2 % |
4.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.5 % |
8.9 / 9.9 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 57.3 % |
90.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 70.6 % |
97 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 10.2 % |
13 % |