| General |
| City |
| Chillicothe |
Ottawa |
| State attribute explanation |
| Il |
Il |
| Street |
| 1028 Hillcrest Drive |
800 East Center Street |
| Zip Code |
| 61,523 |
61,350 |
| Phone |
| 3,092,742,194 |
8,154,347,144 |
|
Overall Star Rating |
| 4 |
5 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
2 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 3 |
1 |
|
Number of Certified Beds |
| 110 |
119 |
|
Total Number of Residents |
| 99 |
92 |
|
Percent of Occupied Beds |
| 90 % |
77 % |
| Health Survey Date |
| 1/26/2012 |
4/13/2012 |
| Fire Survey Date |
| 1/25/2012 |
4/18/2012 |
| 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 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 5 |
2 |
|
| Staff Information |
| Number of Residents |
| 99 |
92 |
| Number of RN Hours Per Resident Per Day |
| 0.52 |
0.29 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.62 |
0.77 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.14 |
1.06 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.09 |
| 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: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 10/20/2011date Of Correction: 11/04/2011 |
| 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: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 02/10/2012date Of Correction: 02/17/2012 |
| 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 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.9 (64.2) |
32.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 7.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.9 % |
3.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.4 % |
3.2 % |
| Percent of long-stay residents who lose too much weight |
| 10.6 % |
16.3:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 16.7 % |
25.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.50 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.4 % |
3.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
14.8 % |
| 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 |
|
11.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.9 % |
98.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.3 % |
98.6 % |
| 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 % |
4.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.5 % |
33.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.7 % |
3.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
2.8 % |
| Percent of long-stay residents who lose too much weight |
| 10.5 % |
18.2:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.1 % |
23.7 (74.7) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.9 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.1 % |
7.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.50 % |
16.2 % |
| 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 |
| 2.8 % |
2.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.2 % |
12.1:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.7 % |
99.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.1 % |
98.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
14.3 % |