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North Adams Home

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
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
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
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
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
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, 02/05/2004

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. 02/05/2004 00/07/2005 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/05/2004 00/07/2005 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. 02/05/2004 00/07/2005 2 Few

Inspection, 02/02/2003

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. 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
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
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
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
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 61
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 51 hours 18 minutes 2 hours 12 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 50 hours 44 minutes 1 hour 3 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 50 hours 52 minutes 1 hour 8 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 52 hours 11 minutes 1 hour 53 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
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
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
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
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
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, 02/03/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/03/2004 00/00/0000 2 Many
Portable fire extinguishers. 02/03/2004 00/00/0000 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 02/03/2004 00/00/0000 2 Some
Approved construction type or materials. 02/03/2004 00/00/0000 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/03/2004 00/00/0000 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/03/2004 00/00/0000 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 02/03/2004 00/00/0000 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. 02/03/2004 00/00/0000 2 Some

Inspection, 02/06/2003

Automatic Sprinkler Systems Deficiencies
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
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
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
 

2259 East 1100th Street
Mendon, IL 62351

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