BOURBONNAIS TERRACE

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 02/22/2011.

Administration

Choose a Doctor to Be the Medical Director. Inspection Date: 03/23/2009 Correction Date: 04/09/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Keep All Essential Equipment Working Safely. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/22/2011 Correction Date: 03/22/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/22/2011 Correction Date: 03/22/2011
Have Enough Outside Airflow. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 03/23/2009 Correction Date: 03/24/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Inspection Date: 03/23/2009 Correction Date: 03/24/2009
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: 03/23/2009 Correction Date: 03/24/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/23/2009 Correction Date: 03/24/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/23/2009 Correction Date: 04/09/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 03/23/2009 Correction Date: 04/09/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Give or Get Dental Care for Each Resident. Inspection Date: 03/23/2009 Correction Date: 04/09/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/15/2010 Correction Date: 02/02/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/15/2010 Correction Date: 01/29/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 03/23/2009 Correction Date: 04/15/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/22/2011 Correction Date: 03/22/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/23/2009 Correction Date: 04/09/2009

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

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. Complaint Filed: 06/20/2008 Correction Date: 07/03/2008

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Bourbonnais Terrace had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/02/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/04/2010 Correction Date: 03/26/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/02/2011 Correction Date: 03/25/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/02/2011 Correction Date: 03/25/2011
Portable Fire Extinguishers. Inspection Date: 03/02/2011 Correction Date: 03/25/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/18/2009 Correction Date: 05/02/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/18/2009 Correction Date: 04/09/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/18/2009 Correction Date: 04/09/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/04/2010 Correction Date: 03/26/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/04/2010 Correction Date: 03/26/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/02/2011 Correction Date: 03/25/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/02/2011 Correction Date: 03/25/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/04/2010 Correction Date: 03/26/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/04/2010 Correction Date: 03/26/2010
Exits That Are Accessible at All Times. Inspection Date: 03/02/2011 Correction Date: 03/25/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/18/2009 Correction Date: 04/09/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/04/2010 Correction Date: 03/19/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/02/2011 Correction Date: 03/25/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/04/2010 Correction Date: 03/26/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/02/2011 Correction Date: 03/25/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/02/2011 Correction Date: 03/25/2011