| General |
| City |
| Washington |
Evanston |
| State attribute explanation |
| Il |
Il |
| Street |
| 1201 Newcastle |
120 Dodge Avenue |
| Zip Code |
| 61,571 |
60,202 |
| Phone |
| 3,094,443,161 |
8,478,697,744 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 5 |
3 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 122 |
97 |
|
Total Number of Residents |
| 89 |
93 |
|
Percent of Occupied Beds |
| 73 % |
96 % |
| Health Survey Date |
| 12/15/2011 |
8/31/2011 |
| Fire Survey Date |
| 12/13/2011 |
11/9/2011 |
| 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 |
No |
| 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 |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 9 |
|
|
| Staff Information |
| Number of Residents |
| 89 |
93 |
| Number of RN Hours Per Resident Per Day |
| 0.96 |
0.85 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.64 |
0.14 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.6 |
0.99 |
| Number of CNA Hours Per Resident Per Day |
| 0.13 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.13 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 05/22/2012date Of Correction: 05/31/2012 |
|
| Deficiency #2 |
| Scope: Somelevel 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: 07/29/2011date Of Correction: 08/09/2011 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Maintain Comfortable And Safe Temperature Levels.survey Date: 07/29/2011date Of Correction: 08/09/2011 |
|
| 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: 08/25/2011date Of Correction: 09/16/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 07/29/2011date Of Correction: 08/09/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 05/22/2012date Of Correction: 05/24/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/25/2011date Of Correction: 09/16/2011 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 08/25/2011date Of Correction: 09/16/2011 |
|
| 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: 08/25/2011date Of Correction: 09/16/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.5 % |
26.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.8 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 7 % |
2.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
7.7 % |
| Percent of long-stay residents who lose too much weight |
| 5.9 % |
5.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
59.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
1 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
10.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
31.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 12.4-2413.6-24 |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.6 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.7 % |
|
| 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 % |
2.20 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.9-28 |
26.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.6 % |
4.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.3 % |
3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.8 % |
12.2 % |
| Percent of long-stay residents who lose too much weight |
| 7.5 % |
4.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.5 % |
57.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
1 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.8 % |
10 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.3 % |
22.5 % |
| Percent of long-stay residents who were physically restrained |
| 1.4 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.9 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 10.6 % |
14.9-28 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96.6 % |
91.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.5 % |
98.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 23.8:1 |
3.8 % |