| General |
| City |
| Chillicothe |
Toulon |
| State attribute explanation |
| Il |
Il |
| Street |
| 1028 Hillcrest Drive |
Highway 17 East P O Box 209 |
| Zip Code |
| 61,523 |
61,483 |
| Phone |
| 3,092,742,194 |
3,092,862,631 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 110 |
136 |
|
Total Number of Residents |
| 99 |
92 |
|
Percent of Occupied Beds |
| 90 % |
68 % |
| Health Survey Date |
| 1/26/2012 |
11/9/2011 |
| Fire Survey Date |
| 1/25/2012 |
11/17/2011 |
| Sprinkler Status |
| Partially 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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
| 5 |
4 |
|
| Staff Information |
| Number of Residents |
| 99 |
92 |
| Number of RN Hours Per Resident Per Day |
| 0.52 |
0.56 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.62 |
0.73 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.14 |
1.29 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.05 |
| 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: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 02/22/2011date Of Correction: 05/02/2011 |
| 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: 06/24/2011date Of Correction: 06/24/2011 |
| 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 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/24/2011date Of Correction: 06/24/2011 |
| 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: 08/06/2009date Of Correction: 08/21/2009 |
| 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 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.9 (64.2) |
38.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 7.4 % |
6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.9 % |
8.1 / 8.8 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.4 % |
15 % |
| Percent of long-stay residents who lose too much weight |
| 10.6 % |
17.3:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 16.7 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.50 % |
2.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.4 % |
21 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
33.7 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
18.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.9 % |
75 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.3 % |
84.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
4.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1 % |
8.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.5 % |
40.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2 % |
4.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.7 % |
7.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6 % |
11 % |
| Percent of long-stay residents who lose too much weight |
| 10.5 % |
15.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21.1 % |
35.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.9 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.1 % |
27.8 (82.0) |
| Percent of long-stay residents who have depressive symptoms |
| 1.50 % |
34.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.8 % |
10 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.2 % |
18.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.7 % |
75.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.1 % |
90.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
2.8 % |