| General |
| City |
| Mendota |
Staunton |
| State attribute explanation |
| Il |
Il |
| Street |
| 1201 First Avenue |
215 West Pennsylvania Avenue |
| Zip Code |
| 61,342 |
62,088 |
| Phone |
| 8,155,396,745 |
6,186,355,577 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 5 |
5 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 5 |
2 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 99 |
99 |
|
Total Number of Residents |
| 67 |
72 |
|
Percent of Occupied Beds |
| 68 % |
73 % |
| Health Survey Date |
| 10/21/2011 |
4/26/2012 |
| Fire Survey Date |
| 10/17/2011 |
4/26/2012 |
| 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? |
| No |
Yes |
| 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 |
| 1 |
|
|
| Staff Information |
| Number of Residents |
| 67 |
72 |
| Number of RN Hours Per Resident Per Day |
| 0.64 |
0.5 - 2.0 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.67 |
0.73 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.31 |
1.24 |
| Number of CNA Hours Per Resident Per Day |
| 0.02 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.02 |
|
| 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: 09/10/2009date Of Correction: 09/18/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.7 % |
25.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
6.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8 % |
10 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
10.4 % |
| Percent of long-stay residents who lose too much weight |
| 17.2 % |
8.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
44.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
1.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
1.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
2.9 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
22.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.8 % |
97.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.8 % |
100 % |
| 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 |
| 75.2 % |
7.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.1 % |
28.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.8 % |
15.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.2 % |
8.2 % |
| Percent of long-stay residents who lose too much weight |
| 12.7 % |
7.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 7.2 % |
44.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
3.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.5 - 2.0 |
1.50 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.5 - 2.0 |
2.4 % |
| Percent of long-stay residents who were physically restrained |
| 2.5 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.5 % |
7.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.5 % |
17.3:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.1 % |
91.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88.2 % |
99.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
22.1 (71.8) |