Shawnee Christian Nursing Ctr
Details
| Type of Ownership |
For profit - Corporation |
| Participates in Medicare? |
Yes |
| Participates in Medicaid? |
Yes |
| Certified Beds |
159 |
| 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: 07/14/2011
|
Date of last standard health inspection:
|
07/14/2011 |
|
Quality Indicator Survey
|
No |
|
Dates of Complaint Investigations:
|
04/01/2011 - 03/31/2012 |
|
Total number of Health Deficiencies for this nursing home:
|
2 |
|
Average number of Health Deficiencies in IL:
|
2 |
|
Average number of Health Deficiencies in US:
|
3 |
|
Range of Health Deficiencies in IL:
|
0 -
11 |
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.
|
02/08/2012
|
02/01/2001
|
2
|
Few
|
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.
|
00/08/2012
|
02/07/2012
|
2
|
Few
|
Inspection, 02/07/2009
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.
|
02/07/2009
|
02/02/2010
|
3
|
Few
|
Inspection, 02/00/2009
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.
|
02/00/2009
|
00/07/2010
|
3
|
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.
|
02/00/2009
|
00/07/2010
|
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.
|
02/00/2009
|
00/07/2010
|
2
|
Few
|
Inspection, 01/06/2009
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.
|
01/06/2009
|
01/00/2010
|
2
|
Some
|
Inspection, 03/00/2008
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
03/00/2008
|
00/03/2009
|
2
|
Few
|
Inspection, 00/07/2008
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/07/2008
|
01/06/2008
|
2
|
Few
|
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%.
|
00/07/2008
|
01/06/2008
|
2
|
Few
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
00/07/2008
|
01/06/2008
|
2
|
Few
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
00/07/2008
|
01/06/2008
|
2
|
Few
|
Inspection, 00/03/2008
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.
|
00/03/2008
|
02/03/2010
|
3
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/03/2008
|
00/02/2009
|
2
|
Many
|
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.
|
00/03/2008
|
00/02/2009
|
2
|
Few
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide activities to meet the interests and needs of each resident.
|
00/03/2008
|
00/02/2009
|
2
|
Few
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
00/03/2008
|
00/02/2009
|
2
|
Some
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
00/03/2008
|
01/00/2010
|
2
|
Some
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
00/03/2008
|
00/02/2009
|
3
|
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.
|
00/03/2008
|
00/02/2009
|
2
|
Some
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Review or revise the resident's care plan after any major change in physical or mental health.
|
00/03/2008
|
00/02/2009
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
|
00/03/2008
|
00/02/2009
|
2
|
Some
|
Inspection, 01/04/2007
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure the activities program is directed by a qualified professional.
|
01/04/2007
|
00/05/2008
|
1
|
Many
|
|
Post nurse staffing information/data on a daily basis.
|
01/04/2007
|
02/09/2007
|
1
|
Many
|
|
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
|
01/04/2007
|
00/05/2008
|
2
|
Few
|
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.
|
01/04/2007
|
00/05/2008
|
2
|
Some
|
|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
|
01/04/2007
|
02/09/2007
|
1
|
Many
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep each resident free from physical restraints, unless needed for medical treatment.
|
01/04/2007
|
00/05/2008
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that residents are safe from serious medication errors.
|
01/04/2007
|
00/05/2008
|
2
|
Few
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
01/04/2007
|
00/05/2008
|
2
|
Few
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
01/04/2007
|
00/05/2008
|
2
|
Few
|
|
Develop policies and procedures for influenza and pneumococcal immunizations.
|
01/04/2007
|
00/05/2008
|
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.
|
01/04/2007
|
00/05/2008
|
2
|
Some
|
|
Allow residents the right to participate in the planning or revision of care and treatment.
|
01/04/2007
|
00/05/2008
|
2
|
Some
|
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.
|
01/04/2007
|
00/05/2008
|
2
|
Few
|
Inspection, 02/02/2006
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
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.
|
02/02/2006
|
01/04/2007
|
2
|
Few
|
Inspection, 02/01/2005
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.
|
02/01/2005
|
03/00/2005
|
2
|
Few
|
Inspection, 02/07/2004
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.
|
02/07/2004
|
02/00/2005
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Reasonably accommodate the needs and preferences of each resident.
|
02/07/2004
|
02/00/2005
|
2
|
Some
|
Inspection, 03/01/2003
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
03/01/2003
|
02/01/2004
|
2
|
Some
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
03/01/2003
|
02/01/2004
|
2
|
Some
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
03/01/2003
|
02/01/2004
|
2
|
Few
|
|
Give or get specialized rehabilitative services per the patient's assessment or plan of care.
|
03/01/2003
|
02/01/2004
|
2
|
Few
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
03/01/2003
|
02/01/2004
|
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.
|
03/01/2003
|
02/01/2004
|
2
|
Few
|
|
Reasonably accommodate the needs and preferences of each resident.
|
03/01/2003
|
02/01/2004
|
2
|
Few
|
Inspection, 01/05/2002
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.
|
01/05/2002
|
02/04/2002
|
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.
|
01/05/2002
|
02/04/2002
|
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.
|
01/05/2002
|
02/04/2002
|
2
|
Few
|
Inspection, 01/00/2002
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
01/00/2002
|
00/09/2003
|
2
|
Few
|
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.
|
01/00/2002
|
00/09/2003
|
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.
|
01/00/2002
|
00/09/2003
|
2
|
Few
|
Inspection, 00/03/2001
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.
|
00/03/2001
|
01/01/2002
|
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.
|
00/03/2001
|
01/01/2002
|
2
|
Few
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
00/03/2001
|
01/01/2002
|
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.
|
00/03/2001
|
01/01/2002
|
2
|
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
|
4 out of 5 stars
|
|
Total Number of Residents
|
85 |
91 |
109 |
Total, Licensed Nurse Staff Hours per Resident per Day
|
15 hours 26 minutes |
48 hours 44 minutes |
1 hour 30 minutes |
RN Hours per Resident per Day
|
14 hours 37 minutes |
48 hours 10 minutes |
42 minutes |
LPN/LVN Hours per Resident per Day
|
14 hours 52 minutes |
48 hours 18 minutes |
48 minutes |
CNA Hours per Resident per Day
|
16 hours 21 minutes |
49 hours 40 minutes |
2 hours 28 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: 07/26/2011
|
Automatic Sprinkler Systems in all required areas
|
Partial |
|
Date of last standard fire safety inspection:
|
07/26/2011
|
|
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, 01/02/2010
Building Construction Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Approved construction type or materials.
|
01/02/2010
|
02/04/2011
|
2
|
Few
|
Building Service Equipment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly protected cooking facilities.
|
01/02/2010
|
02/04/2011
|
2
|
Few
|
Corridor Walls and Doors Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Corridor and hallway doors that block smoke.
|
01/02/2010
|
01/08/2011
|
2
|
Few
|
Electrical Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly installed electrical wiring and equipment.
|
01/02/2010
|
01/08/2011
|
2
|
Few
|
Emergency Plans and Fire Drills Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
A written emergency evacuation plan.
|
01/02/2010
|
01/08/2011
|
2
|
Many
|
|
Record of quarterly fire drills for each shift under varying conditions.
|
01/02/2010
|
01/08/2011
|
2
|
Many
|
Exits and Egress Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Exits that are accessible at all times.
|
01/02/2010
|
01/08/2011
|
2
|
Few
|
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.
|
01/02/2010
|
01/08/2011
|
2
|
Few
|
Smoke Compartmentation and Control Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Smoke barrier doors that can resist smoke for at least 20 minutes.
|
01/02/2010
|
01/08/2011
|
2
|
Few
|
Inspection, 02/00/2008
Automatic Sprinkler Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
An approved automatic sprinkler system connected to the fire alarm system.
|
02/00/2008
|
00/04/2009
|
2
|
Some
|
Inspection, 02/06/2007
Automatic Sprinkler Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
An approved automatic sprinkler system connected to the fire alarm system.
|
02/06/2007
|
01/05/2008
|
2
|
Some
|
Electrical Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Weekly inspections and monthly testing of generators.
|
02/06/2007
|
01/05/2008
|
2
|
Many
|
Exits and Egress Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Exits that are accessible at all times.
|
02/06/2007
|
01/05/2008
|
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.
|
02/06/2007
|
01/05/2008
|
2
|
Many
|
Smoke Compartmentation and Control Deficiencies
|
|
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.
|
02/06/2007
|
02/07/2007
|
2
|
Some
|