| General |
| City |
| Joliet |
La Grange Park |
| State attribute explanation |
| Il |
Il |
| Street |
| 210 North Springfield Avenue |
701 North Lagrange Road |
| Zip Code |
| 60,435 |
60,526 |
| Phone |
| 8,157,253,400 |
7,083,547,300 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
3 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 176 |
131 |
|
Total Number of Residents |
| 149 |
103 |
|
Percent of Occupied Beds |
| 85 % |
79 % |
| Health Survey Date |
| 9/2/2011 |
7/14/2011 |
| Fire Survey Date |
| 9/7/2011 |
8/19/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 7 |
1 |
| Total Enforcement Actions Count |
| 7 |
1 |
| # of deficiencies |
| 9 |
9 |
|
| Staff Information |
| Number of Residents |
| 149 |
106 |
| Number of RN Hours Per Resident Per Day |
| 1.7 |
0.78 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.44 |
0.65 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.14 |
1.44 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 02/18/2011date Of Correction: 03/19/2011 |
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: 07/07/2009date Of Correction: 07/27/2009 |
| 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: 10/16/2009date Of Correction: 10/27/2009 |
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: 05/11/2009date Of Correction: 05/18/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 03/01/2012date Of Correction: 03/15/2012 |
| Deficiency #2 |
|
Scope: Manylevel 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: 03/01/2012date Of Correction: 03/15/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/04/2010date Of Correction: 05/31/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.survey Date: 12/07/2010date Of Correction: 12/23/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/16/2011date Of Correction: 09/12/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 05/26/2011date Of Correction: 06/28/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/31/2010date Of Correction: 04/30/2010 |
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 09/10/2009date Of Correction: 10/05/2009 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/31/2010date Of Correction: 04/30/2010 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/11/2009date Of Correction: 09/01/2009 |
|
| 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: 05/26/2011date Of Correction: 06/28/2011 |
| 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: 03/01/2012date Of Correction: 03/15/2012 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 4deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 04/13/2011date Of Correction: 04/13/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 4deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/13/2011date Of Correction: 04/13/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.6 % |
24.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.20 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.1:1 |
7.9:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.3 % |
9.3 % |
| Percent of long-stay residents who lose too much weight |
| 8.3 % |
8.1 / 8.8 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 36.8 % |
15.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
8.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.5 % |
12.1:1 |
| Percent of long-stay residents who have depressive symptoms |
| 7.7 % |
8 % |
| Percent of long-stay residents who were physically restrained |
| 4.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
6.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.4 % |
13.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.5 % |
93.3 % |
| 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 |
| 5.5 % |
4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 21.7 % |
27.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.5 % |
11.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.6 % |
10.7:1 |
| Percent of long-stay residents who lose too much weight |
| 6.8 % |
7.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 42.3 % |
15.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.7 % |
5.6:1 |
| Percent of long-stay residents with a urinary tract infection |
| 13.2 % |
9.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.9:1 |
4.1 % |
| Percent of long-stay residents who were physically restrained |
| 2.20 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.9 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.9 % |
11.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.4 % |
10.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.7 % |
94 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 20.4 % |
12.6:1 |