| General |
| City |
| Streator |
Rock Island |
| State attribute explanation |
| Il |
Il |
| Street |
| 1525 East Main Street |
767 30th Street |
| Zip Code |
| 61,364 |
61,201 |
| Phone |
| 8,156,724,516 |
3,097,887,631 |
|
Overall Star Rating |
| 3 |
4 |
|
Health Inspections Star Rating |
| 4 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
2 |
|
Quality Measures Star Rating |
| 1 |
2 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 130 |
130 |
|
Total Number of Residents |
| 115 |
113 |
|
Percent of Occupied Beds |
| 88 % |
87 % |
| Health Survey Date |
| 2/9/2012 |
11/17/2011 |
| Fire Survey Date |
| 2/7/2012 |
11/16/2011 |
| 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 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
12 |
|
| Staff Information |
| Number of Residents |
| 115 |
113 |
| Number of RN Hours Per Resident Per Day |
| 0.62 |
0.5 - 2.0 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.61 |
0.56 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.23 |
1.06 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.03 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep All Essential Equipment Working Safely.survey Date: 10/20/2010date Of Correction: 11/11/2010 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 10/20/2010date Of Correction: 11/11/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 01/27/2010date Of Correction: 02/18/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 07/21/2009date Of Correction: 08/28/2009 |
| Deficiency #5 |
|
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: 04/24/2009date Of Correction: 05/25/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 06/30/2009date Of Correction: 08/28/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 06/30/2009date Of Correction: 08/28/2009 |
| 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: 11/19/2009date Of Correction: 11/20/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.survey Date: 07/21/2009date Of Correction: 08/28/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/22/2010date Of Correction: 08/06/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/21/2009date Of Correction: 08/28/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Receive Registry Verification That A Nurse Aide Has Met The Required Training And Skills That The State Requires; And 2) Ensure Nurse Aides Receive The Required Retraining After 24 Months If Nursing Related Services Were Not Provided For Monetary Compensationsurvey Date: 06/30/2009date Of Correction: 08/28/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.2 (68.4) |
19.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 30.3 % |
8.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.3:1 |
8.7 % |
| Percent of long-stay residents who lose too much weight |
| 7.8 % |
19.1:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.9 % |
40 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.6 % |
5.6:1 |
| Percent of long-stay residents with a urinary tract infection |
| 5.8 % |
10.1:1 |
| Percent of long-stay residents who have depressive symptoms |
| 12.7 % |
12.9 (55.2) |
| Percent of long-stay residents who were physically restrained |
| 1 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 26.8 % |
29.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.9 % |
96.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96 % |
98.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
2.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.9 % |
4.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.5-24 |
19.5-24 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 4.2 % |
1.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 25.4 % |
11.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.5 % |
7.3 % |
| Percent of long-stay residents who lose too much weight |
| 12.7 % |
16.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.6 % |
40.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.2 % |
7.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.9 % |
9.9:1 |
| Percent of long-stay residents who have depressive symptoms |
| 9.5 % |
12.6:1 |
| Percent of long-stay residents who were physically restrained |
| 5.1 % |
5.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.6 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 32.2 % |
32.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 92.7 % |
97.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.1 % |
95.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 31.2 % |
2.6 / 3 |