| General |
| City |
| Evanston |
Naperville |
| State attribute explanation |
| Il |
Il |
| Street |
| 3200 Grant Street |
200 Martin Avenue |
| Zip Code |
| 60,201 |
60,540 |
| Phone |
| 8,474,924,800 |
6,303,554,111 |
|
Overall Star Rating |
| 5 |
3 |
|
Health Inspections Star Rating |
| 5 |
3 |
|
Nurse Staffing Star Rating |
| 5 |
3 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 105 |
117 |
|
Total Number of Residents |
| 82 |
93 |
|
Percent of Occupied Beds |
| 78 % |
79 % |
| Health Survey Date |
| 10/13/2011 |
11/18/2011 |
| Fire Survey Date |
| 10/13/2011 |
11/30/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully 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 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
3 |
|
| Staff Information |
| Number of Residents |
| 82 |
93 |
| Number of RN Hours Per Resident Per Day |
| 1.96 |
1.43 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.15 |
0.3 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.11 |
1.73 |
| Number of CNA Hours Per Resident Per Day |
| 0.33 |
0.39 |
| Number Therapy Hours Per Resident Per Day |
| 0.33 |
0.39 |
| 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: 08/23/2011date Of Correction: 09/22/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/08/2011date Of Correction: 08/01/2011 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Post Nurse Staffing Information/data On A Daily Basis.survey Date: 01/14/2010date Of Correction: 02/12/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.7:1 |
23.8:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.7 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 10 % |
6.1 % |
| Percent of long-stay residents who lose too much weight |
| 10.9 % |
5.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
5.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.1 % |
11.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.7:1 |
5.4 % |
| 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 % |
31.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.6 % |
88.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.1 % |
94.6 % |
| 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 % |
5.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.3:1 |
14.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.2 % |
0.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
6.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.2 % |
4.5 % |
| Percent of long-stay residents who lose too much weight |
| 8 % |
9.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.7 % |
58.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.4 % |
9.4 / 10.4 |
| Percent of long-stay residents with a urinary tract infection |
| 6.3 % |
9.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.7 % |
3.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
7.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.8 % |
31.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.4 % |
56.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.3 % |
93.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.1 % |
2.20 % |