MARGARET MANOR

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Illinois are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/26/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/05/2008 Correction Date: 11/19/2008
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/05/2008 Correction Date: 10/05/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/07/2009 Correction Date: 09/21/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/07/2009 Correction Date: 09/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/26/2010 Correction Date: 08/18/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 07/26/2010 Correction Date: 08/13/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 07/26/2010 Correction Date: 09/07/2010

Mistreatment

1) Hire Only People Who Have 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. Inspection Date: 07/26/2010 Correction Date: 08/18/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/05/2008 Correction Date: 10/05/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/07/2009 Correction Date: 09/21/2009

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/05/2008 Correction Date: 10/05/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 08/07/2009 Correction Date: 09/21/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/07/2009 Correction Date: 09/21/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/26/2010 Correction Date: 08/16/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/26/2010 Correction Date: 08/19/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/05/2008 Correction Date: 10/05/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/07/2009 Correction Date: 09/21/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/07/2009 Correction Date: 09/21/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/26/2010 Correction Date: 08/01/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 07/26/2010 Correction Date: 08/11/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/05/2008 Correction Date: 10/05/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/05/2008 Correction Date: 10/05/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 08/07/2009 Correction Date: 09/21/2009

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 08/07/2009 Correction Date: 09/21/2009

The table below lists incident reports by the nursing staff or administration for Margaret Manor, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 07/26/2010 Correction Date: 08/16/2010