| General |
| City |
| Peru |
Des Plaines |
| State attribute explanation |
| Il |
Il |
| Street |
| 1301 21st Street |
1301 Lee Street |
| Zip Code |
| 61,354 |
60,018 |
| Phone |
| 8,152,234,901 |
8,476,354,000 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 4 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 4 |
5 |
|
Number of Certified Beds |
| 129 |
260 |
|
Total Number of Residents |
| 83 |
243 |
|
Percent of Occupied Beds |
| 64 % |
93 % |
| Health Survey Date |
| 3/16/2012 |
2/9/2012 |
| Fire Survey Date |
| 3/26/2012 |
2/10/2012 |
| Sprinkler Status |
| Fully 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 |
| Both |
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 |
| 2 |
7 |
|
| Staff Information |
| Number of Residents |
| 83 |
243 |
| Number of RN Hours Per Resident Per Day |
| 0.85 |
0.99 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.4 |
0.19 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.25 |
1.18 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 06/21/2012date Of Correction: 06/22/2012 |
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: 06/03/2010date Of Correction: 06/05/2010 |
| Deficiency #2 |
|
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: 03/05/2010date Of Correction: 04/04/2010 |
| 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: 06/21/2012date Of Correction: 07/12/2012 |
|
| 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: 09/07/2011date Of Correction: 09/25/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 06/09/2009date Of Correction: 06/25/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/19/2010date Of Correction: 02/02/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/02/2009date Of Correction: 10/22/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/01/2010date Of Correction: 04/04/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.8 % |
20.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.3 % |
8.1 / 8.8 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
6.5 % |
| Percent of long-stay residents who lose too much weight |
| 10.8 % |
8.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
58.8 % |
| 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 |
| 3.6 % |
6.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.7 % |
4 % |
| Percent of long-stay residents who were physically restrained |
| 5.9 % |
1.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.7 % |
36.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
91.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.6 % |
94.8 % |
| 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 |
| 2.4 % |
3.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.3 % |
18.2:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.5 - 2.0 |
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.5 % |
10.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
5.4 % |
| Percent of long-stay residents who lose too much weight |
| 7.5 % |
7.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.7 % |
58.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
2.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 2 % |
6.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.2-20 |
6.4 % |
| Percent of long-stay residents who were physically restrained |
| 6.9 % |
1.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.3 % |
3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.4:1 |
39.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.4 % |
85.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.7 % |
94 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 25.9 % |
2.1 % |