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512 North 11th Street
Vienna, IL 62995
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| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 58 |
| 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
| Date of last standard health inspection: | 09/29/2011 |
| 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 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | 01/00/2010 | 02/04/2010 | 1 | Some |
Quality Care Deficiencies |
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| 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. | 01/00/2010 | 02/04/2010 | 2 | Few |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/00/2010 | 02/04/2010 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 01/00/2010 | 02/04/2010 | 2 | Few |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 01/00/2010 | 02/04/2010 | 2 | Few |
Resident Assessment Deficiencies |
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| 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. | 01/00/2010 | 02/04/2010 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 01/00/2010 | 02/04/2010 | 2 | Few |
Environmental Deficiencies |
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| 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. | 02/09/2009 | 03/01/2010 | 3 | Few |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | 02/09/2009 | 00/01/2011 | 1 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/09/2009 | 03/01/2010 | 3 | 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. | 02/09/2009 | 00/04/2011 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 02/09/2009 | 00/04/2011 | 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. | 02/09/2009 | 00/04/2011 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 02/09/2009 | 00/04/2011 | 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. | 02/09/2009 | 03/01/2010 | 2 | Few |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 02/00/2008 | 00/09/2009 | 2 | 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. | 02/00/2008 | 00/09/2009 | 3 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/00/2008 | 00/01/2011 | 2 | Some |
| Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | 02/00/2008 | 00/09/2009 | 4 | Some |
| Keep all essential equipment working safely. | 02/00/2008 | 02/00/2009 | 1 | Some |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | 02/00/2008 | 00/00/0000 | 1 | Some |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/00/2008 | 02/00/2009 | 1 | Some |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 02/00/2008 | 01/05/2009 | 1 | Many |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | 02/00/2008 | 01/05/2009 | 1 | Some |
| Store, cook, and serve food in a safe and clean way. | 02/00/2008 | 00/09/2009 | 2 | Many |
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. | 02/00/2008 | 00/09/2009 | 2 | Some |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 02/00/2008 | 00/09/2009 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 02/00/2008 | 00/09/2009 | 2 | Some |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 02/00/2008 | 01/03/2009 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/00/2008 | 00/09/2009 | 2 | Some |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 02/00/2008 | 00/09/2009 | 2 | Some |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 02/00/2008 | 00/09/2009 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 02/00/2008 | 00/09/2009 | 2 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 02/00/2008 | 00/09/2009 | 2 | Few |
| Ensure residents maintain acceptable nutritional status. | 02/00/2008 | 00/09/2009 | 2 | Few |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 02/00/2008 | 00/09/2009 | 2 | Few |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 02/00/2008 | 00/09/2009 | 2 | Some |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 02/00/2008 | 00/04/2011 | 2 | Some |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 02/00/2008 | 01/05/2009 | 1 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 02/00/2008 | 00/09/2009 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 02/00/2008 | 02/00/2008 | 1 | Some |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/00/2008 | 00/09/2009 | 2 | Few |
| Keep residents' personal and medical records private and confidential. | 02/00/2008 | 01/03/2009 | 2 | Some |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/00/2008 | 00/09/2009 | 2 | Few |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | 02/00/2008 | 00/09/2009 | 2 | Few |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | 02/00/2008 | 00/09/2009 | 2 | Some |
| Reasonably accommodate the needs and preferences of each resident. | 02/00/2008 | 00/09/2009 | 2 | Some |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 00/04/2008 | 00/09/2009 | 2 | Few |
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 | 2 out of 5 stars |
| Total Number of Residents | 85 | 91 | 40 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 48 hours 44 minutes | 1 hour 18 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 48 hours 10 minutes | 24 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 48 hours 18 minutes | 53 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 49 hours 40 minutes | 2 hours 7 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.
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.
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.
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 09/14/2011 |
| 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 |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/07/2010 | 02/06/2011 | 2 | Some |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 01/07/2010 | 02/03/2010 | 2 | Few |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 01/07/2010 | 03/01/2010 | 2 | Some |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Back-up procedures in place for a faulty automatic sprinkler system. | 02/08/2009 | 02/09/2010 | 2 | Many |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A two-hour-resistant firewall separation. | 02/08/2009 | 02/06/2010 | 2 | Some |
| Approved construction type or materials. | 02/08/2009 | 01/03/2011 | 2 | Some |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 02/08/2009 | 00/04/2010 | 2 | Few |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/08/2009 | 02/06/2010 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 02/08/2009 | 01/00/2011 | 2 | Many |
| Properly installed electrical wiring and equipment. | 02/08/2009 | 03/00/2009 | 2 | Few |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 02/08/2009 | 01/00/2011 | 2 | Many |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 02/08/2009 | 01/05/2011 | 2 | Many |
| An approved back-up procedure for a faulty fire alarm system. | 02/08/2009 | 02/09/2010 | 2 | Many |
Hazardous Area Deficiencies |
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| 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. | 02/08/2009 | 02/07/2010 | 2 | Few |
| Properly installed hallway dispensers for alcohol-based hand rub. | 02/08/2009 | 02/09/2009 | 2 | Many |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A two-hour-resistant firewall separation. | 01/04/2009 | 00/08/2012 | 2 | Some |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/04/2009 | 01/05/2009 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 01/04/2009 | 01/05/2010 | 2 | Some |
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. | 01/04/2009 | 03/01/2010 | 2 | Many |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Emergency lighting that can last at least 1 1/2 hours. | 01/04/2009 | 01/00/2010 | 2 | Some |