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SHAWNEE CHRISTIAN NURSING CTR

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SHAWNEE CHRISTIAN NURSING CTR VS
Nursing Homes USA
General
City HERRIN   0% Nursing Homes USA have HERRIN
State attribute explanation IL   5% Nursing Homes USA have IL
Street 1901 13TH STREET  
Zip Code 62948  
Phone 6189427391  
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
159 
108.94
Total Number of Residents
131 
91.25
Percent of Occupied Beds
82 %
83.65 %
Health Survey Date 7/14/2011  
Fire Survey Date 7/26/2011  
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 - Church Related  4.4% Nursing Homes USA have Non profit - Church related
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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
28 
7.48
Staff Information
Number of Residents
131 
91.38
Number of RN Hours Per Resident Per Day
0.64 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.98 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.62 
1.59
Number of CNA Hours Per Resident Per Day
0.02 
5.49
Number Therapy Hours Per Resident Per Day
0.02 
0.10
Environmental Deficiencies
Deficiency #1 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: 12/08/2011
date Of Correction: 12/27/2011 
Deficiency #2 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: 09/20/2011
date Of Correction: 10/07/2011 
Deficiency #3 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: 04/27/2011
date Of Correction: 05/20/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 03/31/2011
date Of Correction: 04/21/2011 
Deficiency #5 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: 02/10/2011
date Of Correction: 03/09/2011 
Deficiency #6 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: 09/27/2010
date Of Correction: 10/22/2010 
Deficiency #7 Scope: Some
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: 10/02/2009
date Of Correction: 11/10/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 02/15/2012
date Of Correction: 02/24/2012 
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: 02/15/2012
date Of Correction: 02/24/2012 
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: 05/21/2012
date Of Correction: 05/30/2012 
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: 02/15/2012
date Of Correction: 02/24/2012 
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: 09/20/2011
date Of Correction: 10/07/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 04/27/2011
date Of Correction: 05/20/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 03/31/2011
date Of Correction: 04/21/2011 
Deficiency #6 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: 03/31/2011
date Of Correction: 04/21/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/20/2011
date Of Correction: 10/07/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 08/30/2011
date Of Correction: 09/03/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 03/31/2011
date Of Correction: 04/21/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 03/31/2011
date Of Correction: 04/21/2011 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 03/31/2011
date Of Correction: 04/21/2011 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/10/2011
date Of Correction: 03/09/2011 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/28/2010
date Of Correction: 01/21/2011 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/16/2010
date Of Correction: 10/10/2010 
Deficiency #9 Scope: Few
level Of Harm: 2
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: 06/25/2009
date Of Correction: 07/17/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 03/31/2011
date Of Correction: 04/21/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/10/2011
date Of Correction: 03/09/2011 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/23/2009
date Of Correction: 12/01/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 06/22/2010
date Of Correction: 07/14/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12.2 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.50 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain 18.2:1 % 
Percent of long-stay high-risk residents with pressure ulcers
12.2 %
12.58 %
Percent of long-stay residents who lose too much weight 11.8:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
30.8 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection 19.4:1 % 
Percent of long-stay residents who have depressive symptoms
6.7 %
28.38 %
Percent of long-stay residents who were physically restrained
6.3 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
21.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
78.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
73.7 %
83.94 %
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
4.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.9 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
3.8 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
26.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
11.7 %
9.22 %
Percent of long-stay residents who lose too much weight 11.8:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
37.1 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
18.7 %
9.58 %
Percent of long-stay residents who have depressive symptoms
8.8 %
19.86 %
Percent of long-stay residents who were physically restrained
10.4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
6.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
26.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70.6 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
66.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 

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