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Columbus Manor Res Care Home

Details

Type of Ownership For profit - Corporation
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 189
Continuing Care? No
Resident Council? Yes
Family Council? No
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: 10/20/2011

Date of last standard health inspection: 10/20/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in IL: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IL: 0 - 11
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. 01/05/2012 01/05/2002 2 Some

Inspection, 02/03/2011

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. 02/03/2011 01/05/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/03/2011 01/05/2012 2 Few

Inspection, 01/06/2011

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop policies and procedures for influenza and pneumococcal immunizations. 01/06/2011 03/01/2012 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/06/2011 03/01/2012 2 Few

Inspection, 02/00/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/00/2010 01/05/2012 1 Many
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. 02/00/2010 01/05/2002 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. 02/00/2010 01/05/2012 2 Many
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. 02/00/2010 01/05/2012 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/00/2010 01/05/2012 2 Some
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/00/2010 01/05/2012 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2010 01/05/2012 3 Few

Inspection, 03/01/2008

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. 03/01/2008 00/07/2009 4 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 03/01/2008 00/07/2009 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 03/01/2008 00/07/2009 2 Few

Inspection, 00/08/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/08/2007 01/05/2008 Few complete and organized clinical records on each re
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. 00/08/2007 02/02/2009 4 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/08/2007 02/02/2009 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 00/08/2007 02/02/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/08/2007 01/05/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/08/2007 01/05/2008 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/06/2007

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. 00/06/2007 02/00/2008 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/06/2007 02/00/2008 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/09/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/09/2006 00/03/2008 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 01/09/2006 00/03/2008 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/09/2006 00/03/2008 2 Few
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. 01/09/2006 00/03/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/09/2006 00/03/2008 2 Few

Inspection, 00/01/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Train all employees on what to do in an emergency 00/01/2004 02/05/2005 Many and carry out unannounced staff drills.

Inspection, 00/08/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure there is a pest control program to prevent/deal with mice 00/08/2002 00/07/2003 or other pests. insects

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 NA
Total Number of Residents 86 93 110
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 51 hours 18 minutes 59 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 50 hours 44 minutes 15 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 50 hours 52 minutes 43 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 52 hours 11 minutes 56 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: 11/10/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/10/2011
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

Inspection, 01/05/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/05/2011 03/01/2012 2 Few
Portable fire extinguishers. 01/05/2011 03/01/2012 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/05/2011 03/01/2012 2 Some
Restrictions on the use of portable space heaters. 01/05/2011 03/01/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/05/2011 03/01/2012 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/05/2011 03/01/2012 2 Many
Properly installed electrical wiring and equipment. 01/05/2011 03/01/2012 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 01/05/2011 00/00/0000 2 Some
Exits that are accessible at all times. 01/05/2011 03/01/2012 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 01/05/2011 03/01/2012 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/05/2011 03/01/2012 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 01/05/2011 03/01/2012 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protected exits that allow the resident to escape the building. 01/05/2011 03/01/2012 2 Many

Inspection, 01/00/2011

Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/00/2011 02/03/2012 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 01/00/2011 00/00/0000 2 Some
Exits that are accessible at all times. 01/00/2011 00/00/0000 2 Some

Inspection, 03/00/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 03/00/2005 01/04/2007 2 Some
Back-up procedures in place for a faulty automatic sprinkler system. 03/00/2005 01/04/2007 1 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 03/00/2005 01/04/2007 2 Some
Approved construction type or materials. 03/00/2005 01/04/2007 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 03/00/2005 01/04/2007 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 03/00/2005 01/04/2007 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 03/00/2005 01/04/2007 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 03/00/2005 01/04/2007 2 Many
Exits that are accessible at all times. 03/00/2005 00/04/2010 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An automatic smoke detection system in all hallways. 03/00/2005 01/04/2007 2 Many
Properly maintained smoke detectors. 03/00/2005 01/04/2007 2 Many
An approved back-up procedure for a faulty fire alarm system. 03/00/2005 01/04/2007 1 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 03/00/2005 01/04/2007 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 03/00/2005 01/04/2007 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 03/00/2005 01/04/2007 2 Many
Protected exits that allow the resident to escape the building. 03/00/2005 00/04/2010 2 Many
 

5107 21 West Jackson Boulevard
Chicago, IL 60644

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