| General |
| City |
| Chillicothe |
Chicago |
| State attribute explanation |
| Il |
Il |
| Street |
| 1028 Hillcrest Drive |
3400 South Indiana |
| Zip Code |
| 61,523 |
60,616 |
| Phone |
| 3,092,742,194 |
3,128,425,000 |
|
Overall Star Rating |
| 4 |
1 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 3 |
2 |
|
Number of Certified Beds |
| 110 |
302 |
|
Total Number of Residents |
| 99 |
246 |
|
Percent of Occupied Beds |
| 90 % |
81 % |
| Health Survey Date |
| 1/26/2012 |
10/21/2011 |
| Fire Survey Date |
| 1/25/2012 |
11/16/2011 |
| Sprinkler Status |
| Partially 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 |
2 |
| Total Enforcement Actions Count |
| 75.2 |
2 |
| # of deficiencies |
| 5 |
22 |
|
| Staff Information |
| Number of Residents |
| 99 |
246 |
| Number of RN Hours Per Resident Per Day |
| 0.52 |
0.46 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.62 |
0.21 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.14 |
0.66 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.07 |
| 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: 12/29/2011date Of Correction: 01/20/2012 |
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: 11/17/2010date Of Correction: 12/02/2010 |
| Deficiency #2 |
|
Scope: Somelevel 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: 03/25/2010date Of Correction: 04/01/2010 |
| Deficiency #3 |
|
Scope: Somelevel 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: 10/08/2009date Of Correction: 10/26/2009 |
| Deficiency #4 |
|
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: 08/05/2009date Of Correction: 08/24/2009 |
| Deficiency #5 |
|
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: 07/07/2009date Of Correction: 07/22/2009 |
| Deficiency #6 |
|
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: 05/28/2009date Of Correction: 07/22/2009 |
| 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: 09/03/2010date Of Correction: 10/27/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 03/25/2010date Of Correction: 04/01/2010 |
| Deficiency #3 |
|
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: 12/14/2009date Of Correction: 12/29/2009 |
| 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: 04/13/2011date Of Correction: 04/14/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Give Notice To The Resident Before A Room Or Roommate Change.survey Date: 11/17/2010date Of Correction: 12/02/2010 |
| 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: 11/17/2010date Of Correction: 12/02/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
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: 04/19/2012date Of Correction: 05/11/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 04/06/2012date Of Correction: 04/11/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/17/2010date Of Correction: 12/02/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.survey Date: 09/03/2010date Of Correction: 10/27/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 03/25/2010date Of Correction: 04/01/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 09/30/2009date Of Correction: 12/29/2009 |
| Deficiency #7 |
|
Scope: Somelevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/30/2009date Of Correction: 10/27/2009 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 3deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 04/03/2009date Of Correction: 05/28/2009 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/03/2009date Of Correction: 05/28/2009 |
| 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: 12/29/2011date Of Correction: 01/20/2012 |
|
| 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: 12/29/2011date Of Correction: 01/17/2012 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 04/13/2011date Of Correction: 04/14/2011 |
Scope: Somelevel Of Harm: 1deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/03/2009date Of Correction: 04/24/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 09/02/2011date Of Correction: 09/05/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.9 (64.2) |
13.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 7.4 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.9 % |
5.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.4 % |
8.5 % |
| Percent of long-stay residents who lose too much weight |
| 10.6 % |
5.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 16.7 % |
34.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.50 % |
4.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.4 % |
6.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
2.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
20.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.9 % |
34.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.3 % |
32.1 % |
| 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 |
| 1 % |
0.5 - 2.0 |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.5 % |
11.6:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2 % |
0.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.7 % |
4.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
9.6 % |
| Percent of long-stay residents who lose too much weight |
| 10.5 % |
8.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.1 % |
36 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.9 % |
4.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.1 % |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.50 % |
1.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.8 % |
1.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.2 % |
26.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.7 % |
36.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.1 % |
34.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
11.9 % |