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Margaret Manor

Details

Type of Ownership For profit - Partnership
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 135
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: 08/30/2011

Date of last standard health inspection: 08/30/2011
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

Inspection, 02/01/2009

Environmental Deficiencies
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. 02/01/2009 01/01/2010 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/01/2009 01/01/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 02/01/2009 01/01/2010 2 Few
Provide timely notification to the resident before transfer or discharge. 02/01/2009 01/01/2010 2 Few
Provide timely notification to the resident before transfer or discharge. 02/01/2009 01/01/2010 2 Few

Inspection, 03/00/2008

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. 03/00/2008 02/02/2009 2 Few
Dispose of garbage and refuse properly. 03/00/2008 01/04/2009 1 Many
Have a program that investigates, controls and keeps infection from spreading. 03/00/2008 02/02/2009 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 03/00/2008 02/02/2009 1 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 03/00/2008 02/02/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2008 02/02/2009 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain 15 months of resident assessments in the resident's active clinical record. 03/00/2008 02/02/2009 1 Many

Inspection, 02/06/2007

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. 02/06/2007 01/08/2008 2 Some
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 02/06/2007 01/03/2008 1 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/06/2007 00/07/2009 1 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. 02/06/2007 01/08/2008 2 Some
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%. 02/06/2007 01/06/2008 2 Few
Ensure that residents are safe from serious medication errors. 02/06/2007 01/09/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/06/2007 01/06/2008 2 Few
Ensure residents maintain acceptable nutritional status. 02/06/2007 00/01/2008 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 02/06/2007 01/01/2008 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/06/2007 01/06/2008 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 NA
Total Number of Residents 86 93 131
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 51 hours 18 minutes 999 hours 59 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 50 hours 44 minutes 999 hours 59 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 50 hours 52 minutes 999 hours 59 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 52 hours 11 minutes 999 hours 59 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: 09/07/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 09/07/2011
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, 02/00/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/00/2009 00/09/2010 2 Some
Back-up procedures in place for a faulty automatic sprinkler system. 02/00/2009 00/00/0000 1 Many
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/00/2009 02/00/2009 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/00/2009 02/08/2009 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/00/2009 02/01/2009 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/00/2009 01/01/2010 2 Many
Properly installed electrical wiring and equipment. 02/00/2009 02/01/2009 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/00/2009 00/00/0000 1 Many
Record of quarterly fire drills for each shift under varying conditions. 02/00/2009 00/00/0000 1 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 02/00/2009 02/00/2009 2 Many
Exits that are accessible at all times. 02/00/2009 02/00/2009 2 Some
Corridors or aisles that are unobstructed and are at least 8 feet in width. 02/00/2009 02/00/2009 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. 02/00/2009 00/00/0000 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. 02/00/2009 02/04/2009 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. 02/00/2009 02/04/2009 2 Some
Properly located and lighted Exit" signs." 02/00/2009 00/09/2010 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. 02/00/2009 01/00/2010 2 Some
 

1121 North Orleans
Chicago, IL 60610

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