Marion Rehab & Nursing Center
Details
| Type of Ownership |
For profit - Corporation |
| Participates in Medicare? |
Yes |
| Participates in Medicaid? |
Yes |
| Certified Beds |
125 |
| 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: 05/13/2011
|
Date of last standard health inspection:
|
05/13/2011 |
|
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 |
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.
|
03/00/2012
|
01/03/2001
|
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
|
01/05/2012
|
2
|
Few
|
Inspection, 02/01/2007
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.
|
02/01/2007
|
00/09/2008
|
2
|
Few
|
Inspection, 01/05/2007
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.
|
01/05/2007
|
00/04/2008
|
2
|
Few
|
|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
|
01/05/2007
|
00/04/2008
|
2
|
Some
|
|
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
|
01/05/2007
|
00/04/2008
|
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.
|
01/05/2007
|
00/04/2008
|
2
|
Few
|
|
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
|
01/05/2007
|
00/04/2008
|
2
|
Some
|
|
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
|
01/05/2007
|
00/04/2008
|
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.
|
01/05/2007
|
00/04/2008
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/05/2007
|
00/04/2008
|
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.
|
01/05/2007
|
00/04/2008
|
2
|
Few
|
|
Allow residents to easily view the results of the nursing home's most recent inspection.
|
01/05/2007
|
00/04/2008
|
1
|
Many
|
Inspection, 02/01/2006
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/01/2006
|
00/06/2007
|
1
|
Many
|
|
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
|
02/01/2006
|
00/06/2007
|
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.
|
02/01/2006
|
00/06/2007
|
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.
|
02/01/2006
|
00/06/2007
|
1
|
Many
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
|
02/01/2006
|
00/06/2007
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Reasonably accommodate the needs and preferences of each resident.
|
02/01/2006
|
00/06/2007
|
2
|
Few
|
Inspection, 00/07/2006
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.
|
00/07/2006
|
00/01/2007
|
2
|
Few
|
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.
|
00/07/2006
|
00/01/2007
|
1
|
Many
|
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.
|
00/07/2006
|
00/01/2007
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
00/07/2006
|
00/01/2007
|
2
|
Some
|
|
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
|
00/07/2006
|
00/01/2007
|
2
|
Few
|
Inspection, 00/05/2006
Quality Care Deficiencies
|
|
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.
|
00/05/2006
|
02/01/2006
|
3
|
Few
|
Inspection, 01/04/2005
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.
|
01/04/2005
|
02/05/2005
|
2
|
Few
|
Inspection, 01/03/2005
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.
|
01/03/2005
|
01/00/2006
|
2
|
Some
|
|
Have enough outside ventilation via a window or mechanical ventilation, or both.
|
01/03/2005
|
01/00/2006
|
1
|
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.
|
01/03/2005
|
01/00/2006
|
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.
|
01/03/2005
|
01/00/2006
|
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.
|
01/03/2005
|
01/00/2006
|
3
|
Few
|
|
Ensure residents maintain acceptable nutritional status.
|
01/03/2005
|
01/00/2006
|
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.
|
01/03/2005
|
01/00/2006
|
2
|
Few
|
|
Reasonably accommodate the needs and preferences of each resident.
|
01/03/2005
|
01/00/2006
|
2
|
Some
|
Inspection, 02/07/2004
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.
|
02/07/2004
|
00/03/2005
|
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.
|
02/07/2004
|
00/03/2005
|
2
|
Few
|
Inspection, 03/00/2003
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.
|
03/00/2003
|
00/08/2004
|
2
|
Few
|
Inspection, 02/02/2003
Quality Care Deficiencies
|
|
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.
|
02/02/2003
|
00/08/2004
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Reasonably accommodate the needs and preferences of each resident.
|
02/02/2003
|
00/08/2004
|
2
|
Some
|
Inspection, 02/07/2001
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.
|
02/07/2001
|
02/05/2002
|
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.
|
02/07/2001
|
02/05/2002
|
2
|
Few
|
Inspection, 02/06/2001
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.
|
02/06/2001
|
00/04/2002
|
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
|
2 out of 5 stars
|
|
Total Number of Residents
|
85 |
91 |
79 |
Total, Licensed Nurse Staff Hours per Resident per Day
|
15 hours 26 minutes |
48 hours 44 minutes |
1 hour 13 minutes |
RN Hours per Resident per Day
|
14 hours 37 minutes |
48 hours 10 minutes |
28 minutes |
LPN/LVN Hours per Resident per Day
|
14 hours 52 minutes |
48 hours 18 minutes |
45 minutes |
CNA Hours per Resident per Day
|
16 hours 21 minutes |
49 hours 40 minutes |
1 hour 34 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: 06/14/2011
|
Automatic Sprinkler Systems in all required areas
|
Partial |
|
Date of last standard fire safety inspection:
|
06/14/2011
|
|
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 |
Inspection, 01/03/2010
Automatic Sprinkler Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Automatic sprinkler systems that have been maintained in working order.
|
01/03/2010
|
01/09/2011
|
2
|
Some
|
Building Service Equipment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly protected cooking facilities.
|
01/03/2010
|
01/09/2011
|
2
|
Some
|
Corridor Walls and Doors Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Corridor and hallway doors that block smoke.
|
01/03/2010
|
01/09/2011
|
2
|
Some
|
Electrical Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Weekly inspections and monthly testing of generators.
|
01/03/2010
|
01/09/2011
|
2
|
Many
|
Emergency Plans and Fire Drills Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
A written emergency evacuation plan.
|
01/03/2010
|
01/09/2011
|
2
|
Many
|
|
Record of quarterly fire drills for each shift under varying conditions.
|
01/03/2010
|
01/09/2011
|
2
|
Many
|
Exits and Egress Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Exits that are accessible at all times.
|
01/03/2010
|
01/09/2011
|
2
|
Few
|
Fire Alarm Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
An approved installation, maintenance and testing program for fire alarm systems.
|
01/03/2010
|
01/09/2011
|
2
|
Some
|
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.
|
01/03/2010
|
01/09/2011
|
2
|
Few
|
Inspection, 01/08/2006
Automatic Sprinkler Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Automatic sprinkler systems that have been maintained in working order.
|
01/08/2006
|
00/06/2007
|
2
|
Many
|
Electrical Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Weekly inspections and monthly testing of generators.
|
01/08/2006
|
00/06/2007
|
2
|
Many
|
|
Properly installed electrical wiring and equipment.
|
01/08/2006
|
00/06/2007
|
2
|
Some
|
Fire Alarm Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
An approved installation, maintenance and testing program for fire alarm systems.
|
01/08/2006
|
00/06/2007
|
2
|
Some
|
|
Properly maintained smoke detectors.
|
01/08/2006
|
00/06/2007
|
2
|
Many
|
Interior Finish Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Fire resistant interior walls.
|
01/08/2006
|
00/06/2007
|
2
|
Some
|
Medical Gases and Anesthetizing Areas Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Proper medical gas storage and administration areas.
|
01/08/2006
|
00/06/2007
|
2
|
Some
|
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.
|
01/08/2006
|
00/06/2007
|
2
|
Some
|
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."
|
01/08/2006
|
00/06/2007
|
2
|
Some
|
Inspection, 01/04/2006
Automatic Sprinkler Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Portable fire extinguishers.
|
01/04/2006
|
00/01/2007
|
2
|
Some
|
Building Construction Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
A two-hour-resistant firewall separation.
|
01/04/2006
|
00/01/2007
|
2
|
Some
|
Corridor Walls and Doors Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Corridor and hallway doors that block smoke.
|
01/04/2006
|
00/01/2007
|
2
|
Few
|
Electrical Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Weekly inspections and monthly testing of generators.
|
01/04/2006
|
00/01/2007
|
2
|
Many
|
|
Properly installed electrical wiring and equipment.
|
01/04/2006
|
00/01/2007
|
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.
|
01/04/2006
|
00/01/2007
|
1
|
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.
|
01/04/2006
|
00/01/2007
|
2
|
Some
|
|
Properly installed hallway dispensers for alcohol-based hand rub.
|
01/04/2006
|
00/01/2007
|
2
|
Some
|
Illumination and Emergency Power Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Proper backup exit lighting.
|
01/04/2006
|
00/01/2007
|
2
|
Some
|
|
Emergency lighting that can last at least 1 1/2 hours.
|
01/04/2006
|
00/01/2007
|
2
|
Some
|
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.
|
01/04/2006
|
00/01/2007
|
2
|
Some
|
|
Smoke barrier doors that can resist smoke for at least 20 minutes.
|
01/04/2006
|
00/01/2007
|
2
|
Some
|