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North Church Nursing & Rehab

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 113
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: 11/04/2011

Date of last standard health inspection: 11/04/2011
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, 01/07/2012

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. 01/07/2012 02/07/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Use a registered nurse at least 8 hours a day, 7 days a week. 01/07/2012 02/07/2012 1 Many

Inspection, 00/04/2011

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. 00/04/2011 01/08/2011 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. 00/04/2011 01/08/2011 3 Few
Have a program that investigates, controls and keeps infection from spreading. 00/04/2011 01/08/2011 2 Few
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. 00/04/2011 00/07/2011 1 Many
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. 00/04/2011 01/08/2011 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%. 00/04/2011 01/08/2011 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. 00/04/2011 01/08/2011 3 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 00/04/2011 01/03/2012 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. 00/04/2011 01/08/2011 2 Few

Inspection, 01/02/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/02/2010 01/06/2011 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/02/2010 01/06/2011 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/02/2010 01/06/2011 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/02/2010 01/06/2011 2 Many
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. 01/02/2010 01/06/2011 2 Many
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/02/2010 01/06/2011 2 Some
Offer other nutritional food to each resident who will not eat the food served. 01/02/2010 01/06/2011 2 Some
Store, cook, and serve food in a safe and clean way. 01/02/2010 01/06/2011 2 Many
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%. 01/02/2010 01/06/2011 2 Few
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. 01/02/2010 01/06/2011 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. 01/02/2010 01/06/2011 2 Few
Ensure residents maintain acceptable nutritional status. 01/02/2010 01/06/2011 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/02/2010 01/06/2011 2 Few

Inspection, 00/07/2010

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. 00/07/2010 00/08/2010 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/07/2010 00/08/2010 2 Few
Develop a complete care plan that meets all the resident's needs 00/07/2010 00/08/2010 Few with timetables and actions that can be measured.

Inspection, 01/01/2009

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. 01/01/2009 02/01/2009 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure residents maintain acceptable nutritional status. 01/01/2009 02/01/2009 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/01/2009 02/01/2009 2 Few

Inspection, 03/01/2008

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 03/01/2008 00/01/2009 2 Few
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. 03/01/2008 00/01/2009 3 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. 03/01/2008 00/01/2009 2 Few

Inspection, 00/05/2005

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 00/05/2005 00/06/2005 vomiting diarrhea
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/05/2005 00/06/2005 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/06/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure there is a pest control program to prevent/deal with mice 00/06/2004 00/07/2004 or other pests. insects

Inspection, 01/08/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is safe 01/08/2003 00/05/2004 clean and comfortable for residents easy to use

Inspection, 01/03/2003

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 01/03/2003 01/03/2003 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. 01/03/2003 01/05/2003 3 Few
Use a registered nurse at least 8 hours a day 01/03/2003 01/03/2003 Many 7 days a week.

Inspection, 00/04/2003

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. 00/04/2003 01/01/2003 2 Some

Inspection, 02/03/2001

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. 02/03/2001 03/00/2001 2 Few

Inspection, 00/03/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep all essential equipment working safely. 00/03/2001 01/03/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 00/03/2001 01/03/2001 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 1 out of 5 stars
Total Number of Residents 86 93 78
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 51 hours 18 minutes 58 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 50 hours 44 minutes 13 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 50 hours 52 minutes 45 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: 12/09/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 12/09/2011
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, 01/06/2010

Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/06/2010 02/02/2010 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. 01/06/2010 02/02/2010 2 Some

Inspection, 01/09/2001

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. 01/09/2001 00/03/2002 2 Some
Automatic sprinkler systems that have been maintained in working order. 01/09/2001 02/07/2001 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/09/2001 02/07/2001 2 Many
Properly installed electrical wiring and equipment. 01/09/2001 02/07/2001 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. 01/09/2001 02/05/2001 2 Some
 

1021 North Church Street
Jacksonville, IL 62650

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