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North Adams Home
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2259 East 1100th Street
Mendon, IL 62351
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 92 |
| 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: 03/22/2012
| Date of last standard health inspection: | 03/22/2012 |
| 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 |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep residents' personal and medical records private and confidential. | 01/07/2012 | 00/07/2001 | 2 | Few |
Inspection, 00/01/2006
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. | 00/01/2006 | 00/03/2006 | 2 | Few |
Inspection, 00/06/2005
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Post nurse staffing information/data on a daily basis. | 00/06/2005 | 00/06/2005 | 1 | Many |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep all essential equipment working safely. | 00/06/2005 | 00/09/2005 | 1 | Many |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 00/06/2005 | 00/06/2005 | 2 | Some |
Inspection, 00/09/2004
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. | 00/09/2004 | 01/09/2004 | 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. | 00/09/2004 | 01/05/2004 | 2 | Some |
Inspection, 02/02/2003
Environmental Deficiencies |
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| 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. | 02/02/2003 | 00/06/2004 | 2 | Few |
| Have enough backup water supply for essential areas of the nursing home. | 02/02/2003 | 00/06/2004 | 1 | Many |
Inspection, 01/03/2001
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/03/2001 | 00/07/2002 | 3 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident | 01/03/2001 | 00/07/2002 | and a family member of situations (injury/decline/ | the resident's doctor |
Inspection, 00/05/2001
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep clinical record information safe. | 00/05/2001 | 01/02/2001 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that residents are safe from serious medication errors. | 00/05/2001 | 01/02/2001 | 4 | Few |
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 | 53 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
16 hours 19 minutes | 52 hours 51 minutes | 2 hours 4 minutes |
|
RN Hours per Resident per Day |
15 hours 30 minutes | 52 hours 17 minutes | 1 hour 15 minutes |
|
LPN/LVN Hours per Resident per Day |
15 hours 45 minutes | 52 hours 26 minutes | 49 minutes |
|
CNA Hours per Resident per Day |
17 hours 14 minutes | 53 hours 48 minutes | 1 hour 54 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: 03/26/2012
| Automatic Sprinkler Systems in all required areas | Partial |
| Date of last standard fire safety inspection: | 03/26/2012 |
| 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, 00/05/2005
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Portable fire extinguishers. | 00/05/2005 | 00/06/2005 | 2 | Some |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 00/05/2005 | 02/03/2005 | 2 | Some |
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. | 00/05/2005 | 00/05/2005 | 2 | Some |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 00/05/2005 | 01/07/2005 | 2 | Some |
| An approved installation, maintenance and testing program for fire alarm systems. | 00/05/2005 | 02/03/2005 | 2 | Many |
| Properly maintained smoke detectors. | 00/05/2005 | 02/03/2005 | 2 | Many |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 00/05/2005 | 01/07/2005 | 2 | Some |
Inspection, 01/06/2004
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 01/06/2004 | 02/07/2004 | 2 | Some |
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. | 01/06/2004 | 00/04/2005 | 2 | Some |
Interior Finish Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Fire resistant interior walls. | 01/06/2004 | 02/09/2004 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/06/2004 | 00/04/2005 | 2 | Some |
Inspection, 02/06/2003
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. | 02/06/2003 | 00/06/2004 | 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. | 02/06/2003 | 02/06/2003 | 2 | Some |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | 02/06/2003 | 02/06/2003 | 2 | Some |
| Corridor and hallway doors that block smoke. | 02/06/2003 | 02/06/2003 | 2 | Some |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved back-up procedure for a faulty fire alarm system. | 02/06/2003 | 00/06/2004 | 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. | 02/06/2003 | 02/06/2003 | 2 | Some |
