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LEROY MANOR

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LEROY MANOR VS
Nursing Homes USA
General
City LE ROY   0% Nursing Homes USA have LE ROY
State attribute explanation IL   5% Nursing Homes USA have IL
Street 509 SOUTH BUCK ROAD, PO BOX 149  
Zip Code 61752  
Phone 3099625000  
Overall Star Rating
3 
3.11
Health Inspections Star Rating
2 
2.83
Nurse Staffing Star Rating
4 
3.17
Quality Measures Star Rating
3 
3.31
RN Only Star Rating
4 
3.17
Number of Certified Beds
102 
108.94
Total Number of Residents
61 
91.25
Percent of Occupied Beds
60 %
83.65 %
Health Survey Date 8/25/2011  
Fire Survey Date 7/13/2011  
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 Non Profit - Other  1.9% Nursing Homes USA have Non profit - Other
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA 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
1 
58.16
Total Enforcement Actions Count
2 
56.31
# of deficiencies
15 
7.48
Staff Information
Number of Residents
76 
91.38
Number of RN Hours Per Resident Per Day
0.37 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.8 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.17 
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: 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: 05/01/2012
date Of Correction: 05/15/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/19/2011
date Of Correction: 02/04/2011 
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: 06/13/2012
date Of Correction: 06/28/2012 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 06/13/2012
date Of Correction: 06/28/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 05/01/2012
date Of Correction: 05/15/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 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: 03/09/2012
date Of Correction: 04/03/2012 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 06/13/2012
date Of Correction: 06/28/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/13/2012
date Of Correction: 06/28/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/13/2012
date Of Correction: 06/28/2012 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/01/2012
date Of Correction: 05/15/2012 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 03/09/2012
date Of Correction: 04/03/2012 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 03/09/2012
date Of Correction: 05/01/2012 
Deficiency #2 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: 03/09/2012
date Of Correction: 04/03/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 01/26/2012
date Of Correction: 04/03/2012 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 01/26/2012
date Of Correction: 05/01/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
25.8 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
7 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
4.2 %
12.58 %
Percent of long-stay residents who lose too much weight
1.6 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
6.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
6.1 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
34.4 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
1 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
1.50 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.7 (69.3) %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 11.8:1 % 
Percent of long-stay high-risk residents with pressure ulcers
2.4 %
9.22 %
Percent of long-stay residents who lose too much weight
2.9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
11.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
6.7 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
27.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
89.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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