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PROVENA VILLA FRANCISCAN VS NORRIDGE HLTHCR & REHAB CENTRE

Overview:

There are 55 differences and 20 similarities between PROVENA VILLA FRANCISCAN, NORRIDGE HLTHCR & REHAB CENTRE

General
City
Joliet Norridge
State attribute explanation
Il Il
Street
210 North Springfield Avenue 7001 West Cullom
Zip Code
60,435 60,634
Phone
8,157,253,400 7,084,570,700
Overall Star Rating
3
4
Health Inspections Star Rating
2
3
Nurse Staffing Star Rating
5
4
Quality Measures Star Rating
2
4
RN Only Star Rating
5
5
Number of Certified Beds
176
292
Total Number of Residents
149
266
Percent of Occupied Beds
85 %
91 %
Health Survey Date
9/2/2011 1/13/2012
Fire Survey Date
9/7/2011 2/2/2012
Sprinkler Status
Fully Sprinklered Partially Sprinklered
Program Participation
Medicare And Medicaid Medicare And Medicaid
Type of Ownership
Non Profit - Church Related For Profit - Corporation
Located Within a Hospital?
No No
Multi Nursing Home Ownership?
Yes Yes
Resident and Family Councils
Resident Both
Continuing Care Retirement Community?
No No
Quality Indicator Survey?
No No
Special Focus Facility?
No No
Civil Money Penalty Count
7
75.2
Total Enforcement Actions Count
7
75.2
# of deficiencies
9 11
Staff Information
Number of Residents
149
266
Number of RN Hours Per Resident Per Day
1.7
1.14
Number of LPN/LVN Hours Per Resident Per Day
0.44
0.32
Total Number of Licensed Staff Hours Per Resident Per Day
2.14
1.46
Number of CNA Hours Per Resident Per Day
0.09
0.09
Number Therapy Hours Per Resident Per Day
0.09
0.09
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: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 09/15/2011date Of Correction: 10/07/2011
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: 08/09/2011date Of Correction: 09/02/2011
Deficiency #3
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: 03/04/2010date Of Correction: 03/18/2010
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: 08/09/2011date Of Correction: 09/02/2011
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 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: 03/04/2010date Of Correction: 03/18/2010
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: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/09/2011date Of Correction: 09/02/2011
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: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/04/2010date Of Correction: 11/29/2010
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 Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/04/2010date Of Correction: 11/29/2010
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 Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/04/2010date Of Correction: 03/18/2010
Administration Deficiencies
Deficiency #1
Scope: Fewlevel Of Harm: 2deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.survey Date: 03/04/2010date Of Correction: 03/18/2010
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 Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 11/04/2010date Of Correction: 11/29/2010
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 %
16.9-24
Percent of long-stay residents whose need for help with daily activities has increased
2.20 %
0.8 %
Percent of long-stay residents who self-report moderate to severe pain
12.1:1
12.5 %
Percent of long-stay high-risk residents with pressure ulcers
6.3 %
6.8 %
Percent of long-stay residents who lose too much weight
8.3 %
4.2 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.8 %
82.2 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
5.9 %
Percent of long-stay residents with a urinary tract infection
3.5 %
10.9 %
Percent of long-stay residents who have depressive symptoms
7.7 %
7.9:1
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 %
22.9 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.4 %
82.8 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.5 %
81.2 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2
4.2 %
Percent of long-stay residents experiencing one or more falls with major injury
5.5 %
2 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
21.7 %
15.2 %
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 %
9.8 %
Percent of long-stay high-risk residents with pressure ulcers
6.6 %
8.9 / 9.9
Percent of long-stay residents who lose too much weight
6.8 %
7.6 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
42.3 %
78.5 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.7 %
5.4 %
Percent of long-stay residents with a urinary tract infection
13.2 %
7.3 %
Percent of long-stay residents who have depressive symptoms
7.9:1
6.8 %
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 %
Percent of short-stay residents who self-report moderate to severe pain
23.9 %
21.1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94.4 %
72.2 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92.7 %
69.6 %
Percent of short-stay residents who newly received an antipsychotic medication
20.4 %
3.7 %

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