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Mac Neal Memorial Hospital

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 40
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 10/06/2011

Date of last standard health inspection: 10/06/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in IL: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IL: 0 - 11

Inspection, 00/06/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/06/2010 03/01/2010 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/06/2010 03/01/2010 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/06/2010 03/01/2010 2 Some
Ensure that residents are safe from serious medication errors. 00/06/2010 03/01/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2010 03/01/2010 2 Few
Ensure residents maintain acceptable nutritional status. 00/06/2010 03/01/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/06/2010 03/01/2010 2 Some

Inspection, 02/08/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2009 01/07/2010 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/08/2009 01/07/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/08/2009 00/01/2011 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 02/08/2009 01/07/2010 1 Many

Inspection, 00/09/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 00/09/2009 02/04/2010 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/09/2009 02/04/2010 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/09/2009 02/04/2010 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 00/09/2009 02/04/2010 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/09/2009 02/04/2010 2 Few
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. 00/09/2009 02/04/2010 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/09/2009 02/04/2010 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/09/2009 02/04/2010 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/09/2009 02/04/2010 2 Few
Ensure that residents are safe from serious medication errors. 00/09/2009 02/04/2010 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2009 02/04/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/09/2009 02/04/2010 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/09/2009 02/04/2010 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2009 02/04/2010 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/09/2009 02/04/2010 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/09/2009 02/04/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/09/2009 02/04/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 00/09/2009 02/04/2010 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 00/09/2009 02/04/2010 2 Some
Allow residents to self-administer drugs if determined safe. 00/09/2009 02/04/2010 1 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/09/2009 02/04/2010 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in IL Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 93 34
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 51 hours 18 minutes 4 hours 2 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 50 hours 44 minutes 3 hours 45 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 50 hours 52 minutes 17 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 52 hours 11 minutes 3 hours 16 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 11/02/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/02/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in IL: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in IL: 0 - 0
 

3249 South Oak Park Avenue
Berwyn, IL 60402

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