| General |
| City |
| Belleville |
Elgin |
| State attribute explanation |
| Il |
Il |
| Street |
| 4315 Memorial Drive |
355 Raymond Street |
| Zip Code |
| 62,226 |
60,120 |
| Phone |
| 6,182,575,060 |
8,476,976,636 |
|
Overall Star Rating |
| 5 |
5 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
| 5 |
5 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 108 |
94 |
|
Total Number of Residents |
| 57 |
79 |
|
Percent of Occupied Beds |
| 53 % |
84 % |
| Health Survey Date |
| 2/2/2012 |
1/12/2012 |
| Fire Survey Date |
| 2/14/2012 |
2/1/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Other |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Both |
Both |
| 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 |
2 |
|
| Staff Information |
| Number of Residents |
| 57 |
79 |
| Number of RN Hours Per Resident Per Day |
| 2.12 |
1.88 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.35 |
0.41 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.47 |
2.28 |
| Number of CNA Hours Per Resident Per Day |
| 0.11 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.11 |
0.07 |
| 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: 08/19/2009date Of Correction: 08/20/2009 |
| 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: 09/17/2009date Of Correction: 10/12/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 08/19/2009date Of Correction: 08/20/2009 |
| 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 |
|
75.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.5 - 2.0 |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
7.7 % |
| 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 |
|
1.2 % |
| Percent of long-stay residents with a urinary tract infection |
|
1.4 % |
| Percent of long-stay residents who have depressive symptoms |
|
75.2 % |
| 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 % |
2.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.3 % |
97.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.9 % |
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 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
0.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
10.5 % |
| Percent of long-stay residents who lose too much weight |
|
4.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
66.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
2.8 % |
| Percent of long-stay residents with a urinary tract infection |
|
1.4 % |
| Percent of long-stay residents who have depressive symptoms |
|
75.2 % |
| Percent of long-stay residents who were physically restrained |
|
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.3 % |
2.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 86 % |
89.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.1 % |
92 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.3 % |
75.2 % |