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HILLCREST NURSING & REHAB CTR

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HILLCREST NURSING & REHAB CTR VS
Nursing Homes USA
General
City JOLIET   0.1% Nursing Homes USA have JOLIET
State attribute explanation IL   5% Nursing Homes USA have IL
Street 777  
Zip Code 60432  
Phone 8157274794  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
168 
108.94
Total Number of Residents
141 
91.25
Percent of Occupied Beds
84 %
83.65 %
Health Survey Date 11/15/2011  
Fire Survey Date 10/19/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 16  
Staff Information
Number of Residents
141 
91.38
Number of RN Hours Per Resident Per Day
0.47 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.57 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.05 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/07/2012
date Of Correction: 02/24/2012 
Deficiency #2 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/15/2011
date Of Correction: 01/12/2012 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/11/2010
date Of Correction: 07/02/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 02/03/2012
date Of Correction: 02/22/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 11/15/2011
date Of Correction: 12/02/2011 
Deficiency #3 Scope: Some
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 11/15/2011
date Of Correction: 12/02/2011 
Deficiency #4 Scope: Some
level Of Harm: 4
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 11/15/2011
date Of Correction: 12/02/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: 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: 02/16/2010
date Of Correction: 02/23/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/06/2012
date Of Correction: 04/25/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 02/03/2012
date Of Correction: 02/24/2012 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: 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: 11/15/2011
date Of Correction: 12/02/2011 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/15/2011
date Of Correction: 12/02/2011 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Proper Discharge Planning And Communication, Of The Resident's Health Status And Summary Of The Resident's Stay.
survey Date: 04/06/2012
date Of Correction: 04/25/2012 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 03/21/2012
date Of Correction: 04/06/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 02/03/2012
date Of Correction: 02/24/2012 
Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: 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: 02/03/2012
date Of Correction: 02/24/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
52.1 %
25.09 %
Percent of long-stay residents who self-report moderate to severe pain
17.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
75.2 %
12.58 %
Percent of long-stay residents who lose too much weight
8.2 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
6.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.5 %
13.46 %
Percent of long-stay residents who have depressive symptoms
14.6 %
28.38 %
Percent of long-stay residents who were physically restrained
1.6 %
43.68 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
4.1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
52.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
5.3 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
15 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.1 %
9.22 %
Percent of long-stay residents who lose too much weight
9.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
7.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
2.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
12.9 (55.2) %
19.86 %
Percent of long-stay residents who were physically restrained
1.50 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury 11.8:1 % 
Percent of short-stay residents who self-report moderate to severe pain
31.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
45.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
54.1 %
74.75 %

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