| General |
| City |
| Belleville |
Morton Grove |
| State attribute explanation |
| Il |
Il |
| Street |
| 4315 Memorial Drive |
8425 Waukegan Road |
| Zip Code |
| 62,226 |
60,053 |
| Phone |
| 6,182,575,060 |
8,479,658,100 |
|
Overall Star Rating |
| 5 |
4 |
|
Health Inspections Star Rating |
| 5 |
3 |
|
Nurse Staffing Star Rating |
| 5 |
5 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 108 |
161 |
|
Total Number of Residents |
| 57 |
97 |
|
Percent of Occupied Beds |
| 53 % |
60 % |
| Health Survey Date |
| 2/2/2012 |
4/26/2012 |
| Fire Survey Date |
| 2/14/2012 |
5/1/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Other |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
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 |
| 2 |
3 |
|
| Staff Information |
| Number of Residents |
| 57 |
97 |
| Number of RN Hours Per Resident Per Day |
| 2.12 |
1.36 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.35 |
0.67 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.47 |
2.03 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.18 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.18 |
| 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: 12/13/2011date Of Correction: 01/02/2012 |
| 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: 09/17/2009date Of Correction: 10/12/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/13/2011date Of Correction: 01/02/2012 |
| 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: 03/27/2012date Of Correction: 04/17/2012 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/17/2009date Of Correction: 10/12/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
32.4 (90.3) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.5 - 2.0 |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
|
5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
6.8 % |
| Percent of long-stay residents who lose too much weight |
|
75.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
17.9 (64.2) |
| Percent of long-stay residents who have depressive symptoms |
|
5.8 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.6 % |
33.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.3 % |
94.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.9 % |
94.3 % |
| 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 |
|
2.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
31.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
1.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
4.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
7.9:1 |
| Percent of long-stay residents who lose too much weight |
|
1.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
48.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
1.1 % |
| Percent of long-stay residents with a urinary tract infection |
|
13.1:1 |
| Percent of long-stay residents who have depressive symptoms |
|
7.2 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.3 % |
31.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86 % |
93.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.1 % |
93.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.3 % |
0.9 % |