| General |
| City |
| Peru |
Jacksonville |
| State attribute explanation |
| Il |
Il |
| Street |
| 1301 21st Street |
1024 West Walnut |
| Zip Code |
| 61,354 |
62,650 |
| Phone |
| 8,152,234,901 |
2,172,455,175 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 4 |
5 |
|
Nurse Staffing Star Rating |
| 4 |
1 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 4 |
1 |
|
Number of Certified Beds |
| 129 |
126 |
|
Total Number of Residents |
| 83 |
71 |
|
Percent of Occupied Beds |
| 64 % |
56 % |
| Health Survey Date |
| 3/16/2012 |
4/19/2012 |
| Fire Survey Date |
| 3/26/2012 |
4/19/2012 |
| 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 |
Yes |
| Resident and Family Councils |
| Both |
Both |
| 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 |
| 2 |
6 |
|
| Staff Information |
| Number of Residents |
| 83 |
71 |
| Number of RN Hours Per Resident Per Day |
| 0.85 |
0.32 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.4 |
0.91 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.25 |
1.22 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
|
| 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: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/29/2009date Of Correction: 09/04/2009 |
| 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 |
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 06/29/2009date Of Correction: 09/04/2009 |
| Deficiency #2 |
|
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: 06/29/2009date Of Correction: 09/04/2009 |
| 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: 06/29/2009date Of Correction: 09/04/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 01/18/2012date Of Correction: 02/09/2012 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services.survey Date: 01/19/2011date Of Correction: 02/04/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.8 % |
59.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.3 % |
15.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
6.8 % |
| Percent of long-stay residents who lose too much weight |
| 10.8 % |
75.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
16.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.6 % |
11.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 6.7 % |
26.4 % |
| Percent of long-stay residents who were physically restrained |
| 5.9 % |
22.2:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.7 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
96.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.6 % |
96.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
16 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.4 % |
1.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.3 % |
54.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.5 - 2.0 |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 11.5 % |
8.6:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
4 % |
| Percent of long-stay residents who lose too much weight |
| 7.5 % |
1.50 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.7 % |
20.2 (68.4) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 2 % |
7.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.2-20 |
23.3 % |
| Percent of long-stay residents who were physically restrained |
| 6.9 % |
24.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.3 % |
1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.4:1 |
18.2:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.4 % |
97.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.7 % |
98.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 25.9 % |
19.5-24 |