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Three Springs Lodge Nursing Home, Llc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 2
Continuing Care? No
Resident Council? No
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: 12/21/2011

Date of last standard health inspection: 12/21/2011
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, 02/01/2012

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. 02/01/2012 02/03/2001 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/01/2012 02/03/2001 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 02/01/2012 00/05/2001 1 Some
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. 02/01/2012 02/03/2001 2 Some
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. 02/01/2012 02/03/2001 2 Many
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. 02/01/2012 00/08/2002 2 Few
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 02/01/2012 02/03/2001 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. 02/01/2012 02/03/2001 2 Few

Inspection, 00/05/2011

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. 00/05/2011 02/02/2012 3 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 00/05/2011 00/05/2011 1 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 00/05/2011 02/08/2012 4 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. 00/05/2011 02/08/2012 4 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. 00/05/2011 02/08/2012 4 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/05/2011 02/02/2012 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. 00/05/2011 02/02/2012 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. 00/05/2011 02/02/2012 2 Few
Keep residents' personal and medical records private and confidential. 00/05/2011 02/02/2012 2 Some

Inspection, 00/01/2002

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. 00/01/2002 02/00/2002 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/01/2002 00/07/2002 2 Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. 00/01/2002 00/00/0000 1 Some
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. 00/01/2002 00/07/2002 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/01/2002 01/08/2002 2 Some
Offer other nutritional food to each resident who will not eat the food served. 00/01/2002 01/08/2002 2 Some
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. 00/01/2002 00/07/2002 2 Some
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. 00/01/2002 00/07/2002 2 Few
Ensure residents maintain acceptable nutritional status. 00/01/2002 01/08/2002 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. 00/01/2002 00/01/2003 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. 00/01/2002 00/01/2002 2 Few
Provide timely notification to the resident before transfer or discharge. 00/01/2002 00/01/2002 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/01/2002 01/03/2003 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 86 93 83
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 51 hours 18 minutes 36 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 50 hours 44 minutes 22 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 50 hours 52 minutes 13 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 52 hours 11 minutes 1 hour 16 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: 01/10/2012

Automatic Sprinkler Systems in all required areas 75
Date of last standard fire safety inspection: 01/10/2012
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, 00/02/2012

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/02/2012 01/00/2001 2 Many
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. 00/02/2012 00/06/2012 2 Many

Inspection, 01/00/2001

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/00/2001 01/05/2001 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. 01/00/2001 01/05/2001 1 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 01/00/2001 01/05/2001 2 Many
 

161 Three Springs Road
Chester, IL 62233

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