| General |
| City |
| Evanston |
Peoria |
| State attribute explanation |
| Il |
Il |
| Street |
| 3200 Grant Street |
5600 Glen Elm Drive |
| Zip Code |
| 60,201 |
61,614 |
| Phone |
| 8,474,924,800 |
3,096,938,777 |
|
Overall Star Rating |
| 5 |
2 |
|
Health Inspections Star Rating |
| 5 |
3 |
|
Nurse Staffing Star Rating |
| 5 |
1 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
| 5 |
2 |
|
Number of Certified Beds |
| 105 |
144 |
|
Total Number of Residents |
| 82 |
128 |
|
Percent of Occupied Beds |
| 78 % |
89 % |
| Health Survey Date |
| 10/13/2011 |
10/7/2011 |
| Fire Survey Date |
| 10/13/2011 |
10/6/2011 |
| 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 |
None |
| Continuing Care Retirement Community? |
| Yes |
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 |
|
13 |
|
| Staff Information |
| Number of Residents |
| 82 |
128 |
| Number of RN Hours Per Resident Per Day |
| 1.96 |
0.6 |
| 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 |
1.49 |
| Number of CNA Hours Per Resident Per Day |
| 0.33 |
0.14 |
| Number Therapy Hours Per Resident Per Day |
| 0.33 |
0.14 |
| 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: 07/25/2011date Of Correction: 08/10/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 10/07/2011date Of Correction: 11/04/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 12/04/2009date Of Correction: 01/03/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Notice To The Resident Before A Room Or Roommate Change.survey Date: 09/30/2009date Of Correction: 10/16/2009 |
| Deficiency #4 |
|
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: 09/30/2009date Of Correction: 10/16/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/26/2010date Of Correction: 06/11/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/26/2010date Of Correction: 06/21/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/04/2009date Of Correction: 01/03/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 09/30/2009date Of Correction: 10/16/2009 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/30/2009date Of Correction: 10/16/2009 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/24/2009date Of Correction: 08/07/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Post Nurse Staffing Information/data On A Daily Basis.survey Date: 07/25/2011date Of Correction: 08/10/2011 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 03/26/2010date Of Correction: 06/11/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.7:1 |
29 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.7 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
4.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10 % |
6 % |
| Percent of long-stay residents who lose too much weight |
| 10.9 % |
15.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65 % |
67.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
7.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.1 % |
5.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 10.7:1 |
6.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.2 % |
15.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.6 % |
88.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.1 % |
94.1 % |
| 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 % |
4.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.3:1 |
27 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.2 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
9.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.2 % |
6.3 % |
| Percent of long-stay residents who lose too much weight |
| 8 % |
14.9-28 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.7 % |
68.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
6.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.3 % |
3.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.7 % |
5.5 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
3.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.8 % |
20.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.4 % |
87.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.3 % |
85.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.1 % |
14.9-28 |