| General |
| City |
| Mendota |
Quincy |
| State attribute explanation |
| Il |
Il |
| Street |
| 1201 First Avenue |
1440 North 10th Street |
| Zip Code |
| 61,342 |
62,301 |
| Phone |
| 8,155,396,745 |
2,172,243,780 |
|
Overall Star Rating |
| 5 |
4 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 99 |
89 |
|
Total Number of Residents |
| 67 |
62 |
|
Percent of Occupied Beds |
| 68 % |
70 % |
| Health Survey Date |
| 10/21/2011 |
8/5/2011 |
| Fire Survey Date |
| 10/17/2011 |
8/29/2011 |
| 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? |
| No |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
Yes |
| 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 |
11 |
|
| Staff Information |
| Number of Residents |
| 67 |
62 |
| Number of RN Hours Per Resident Per Day |
| 0.64 |
0.9 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.67 |
0.37 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.31 |
1.28 |
| Number of CNA Hours Per Resident Per Day |
| 0.02 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.02 |
0.06 |
| Environmental Deficiencies |
| Deficiency #1 |
|
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: 09/15/2009date Of Correction: 10/07/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/30/2011date Of Correction: 12/19/2011 |
| Deficiency #2 |
|
Scope: Somelevel 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: 11/30/2011date Of Correction: 12/19/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 11/30/2011date Of Correction: 12/19/2011 |
| Deficiency #2 |
|
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: 04/20/2011date Of Correction: 04/22/2011 |
| Deficiency #3 |
|
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: 09/15/2009date Of Correction: 10/07/2009 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/02/2010date Of Correction: 04/22/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/15/2009date Of Correction: 10/07/2009 |
| 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: 09/02/2010date Of Correction: 09/22/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Post Nurse Staffing Information/data On A Daily Basis.survey Date: 10/12/2011date Of Correction: 10/12/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 04/02/2010date Of Correction: 04/22/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.7 % |
3.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
7.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8 % |
8.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
5.6:1 |
| Percent of long-stay residents who lose too much weight |
| 17.2 % |
6.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
48.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
2.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
8.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
1.6 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
17.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.8 % |
96.2 % |
| 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 % |
6.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.1 % |
5.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.8 % |
9.9:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.2 % |
6.1 % |
| Percent of long-stay residents who lose too much weight |
| 12.7 % |
8.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 7.2 % |
48 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2 % |
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.5 - 2.0 |
7.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.5 - 2.0 |
2.20 % |
| Percent of long-stay residents who were physically restrained |
| 2.5 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.5 % |
7.9:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.5 % |
12.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.1 % |
93.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88.2 % |
17.8:1 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
1.50 % |