| General |
| City |
| Evanston |
Gilman |
| State attribute explanation |
| Il |
Il |
| Street |
| 3200 Grant Street |
1390 South Crescent Street, Box 307 |
| Zip Code |
| 60,201 |
60,938 |
| Phone |
| 8,474,924,800 |
8,152,657,208 |
|
Overall Star Rating |
| 5 |
2 |
|
Health Inspections Star Rating |
| 5 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
3 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 105 |
99 |
|
Total Number of Residents |
| 82 |
66 |
|
Percent of Occupied Beds |
| 78 % |
67 % |
| Health Survey Date |
| 10/13/2011 |
6/28/2012 |
| Fire Survey Date |
| 10/13/2011 |
6/25/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
|
12 |
|
| Staff Information |
| Number of Residents |
| 82 |
66 |
| Number of RN Hours Per Resident Per Day |
| 1.96 |
0.49 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.15 |
0.89 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.11 |
1.39 |
| Number of CNA Hours Per Resident Per Day |
| 0.33 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.33 |
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: 05/17/2012date Of Correction: 05/21/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 11/29/2011date Of Correction: 11/30/2011 |
| 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: 10/26/2009date Of Correction: 11/13/2009 |
| Deficiency #2 |
|
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: 05/14/2009date Of Correction: 06/02/2009 |
| 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: 11/29/2011date Of Correction: 11/30/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/23/2009date Of Correction: 08/22/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 07/23/2009date Of Correction: 08/22/2009 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 05/14/2009date Of Correction: 06/02/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 04/15/2009date Of Correction: 05/26/2009 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 04/15/2009date Of Correction: 05/26/2009 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 04/15/2009date Of Correction: 05/26/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 11/29/2011date Of Correction: 11/30/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.7:1 |
23.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.7 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
12.4-2413.6-24 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10 % |
14.7:1 |
| Percent of long-stay residents who lose too much weight |
| 10.9 % |
1.50 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65 % |
31.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.1 % |
1.50 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.7:1 |
1.50 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.5 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.2 % |
42.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.6 % |
84.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.1 % |
79.2 % |
| 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 |
| 3.6 % |
3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.3:1 |
23.8:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
9.4 / 10.4 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.2 % |
8.8 % |
| Percent of long-stay residents who lose too much weight |
| 8 % |
4.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.7 % |
36.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
3.4 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.3 % |
3.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.7 % |
1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
4.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
5.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.8 % |
31.4 (88.5) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.4 % |
81 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.3 % |
76.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.1 % |
15.4 % |