MIDWEST REHAB & RESPIRATORY

The information listed below provides an in-depth look into the type and quality of care offered at Midwest Rehab & Respiratory. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MIDWEST REHAB & RESPIRATORY
727 NORTH 17TH STREET
BELLEVILLE, IL 62226
(618) 234-3323

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

79%

Number of Residents and Certified Beds

Residents: 142
Certified Beds: 180

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Swansea | Caseyville | East Saint Louis

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Special Care Low". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Midwest Rehab & Respiratory. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	27.1%
Total Percent:	27.1%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	8.2%
Total Percent:	8.2%

Extensive Services

Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 2-16 - Isolation for active infectious disease	15.3%
Total Percent:	15.3%

Special Care Low

Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
Respiratory failure and oxygen therapy while a resident
Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
Ulcers: 2 or more venous or arterial ulcers
Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
Foot infection/diabetic foot ulcer/open lesions of foot with treatment
Radiation therapy while a resident
Dialysis while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 15-16 - No Signs of depression	16.5%
ADL Index Range: 11-14 - No Signs of depression	16.5%
Total Percent:	32.9%

Clinically Complex

Pneumonia, hemiplegia with ADL score >=5
Surgical wounds or open lesions with treatment
Burns
Chemotherapy while a resident
Oxygen therapy while a resident
IV medications or transfusions while a resident
Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1

ADL Index Range: 2-5 - No Signs of depression	14.1%
Total Percent:	14.1%

Reduced Physical Function

Urinary and/or bowel training program
Passive and/or active range of motion (ROM)
Amputation/prosthesis training
Dressing or grooming training
Eating or swallowing training
Transfer training
Splint or brace assistance
Bed mobility and/or walking training
Communication training

ADL Index Range: 2-5 - Less restorative nursing	2.4%
Total Percent:	2.4%

Rating Details For Midwest Rehab & Respiratory

Nursing Staff -

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.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	45 Minutes	56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	49 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 8 Minutes	2 Hours and 6 Minutes
Total Licensed Nurse Hours	1 Hour and 34 Minutes	1 Hour and 36 Minutes
Total Nurse Hours	3 Hours and 42 Minutes	3 Hours and 42 Minutes

Quality of Care -

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.

This Facility

Illinois Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	67%	85%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	88%	88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious	19%	16%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Who Were Physically Restrained	-	5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	32%	44%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	13%	13%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	10%	9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	9%	12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	21%	3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	12%	5%
Percent of Long-Stay Residents Who Lose Too Much Weight	12%	9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	8%	14%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	4%	4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	57%	82%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	37%	80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	8%	20%
Percent of Short-Stay Residents Who Have Pressure Sores	23%	13%
Percent of Short-Stay Residents Who Have Delirium	2%	3%

Health Inspection Details -

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 03/23/2011.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 04/24/2009 Correction Date: 05/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/24/2009 Correction Date: 05/14/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 04/24/2009 Correction Date: 05/14/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/19/2010 Correction Date: 03/11/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/19/2010 Correction Date: 03/11/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/19/2010 Correction Date: 03/11/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

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: 03/23/2011
Correction Date: 04/22/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products.

Inspection Date: 03/23/2011
Correction Date: 04/22/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 04/24/2009 Correction Date: 05/14/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/24/2009 Correction Date: 05/14/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/24/2009 Correction Date: 05/14/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/19/2010 Correction Date: 03/11/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/19/2010 Correction Date: 03/11/2010
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. Inspection Date: 02/19/2010 Correction Date: 03/11/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 02/19/2010 Correction Date: 03/11/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/23/2011 Correction Date: 04/22/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/24/2009 Correction Date: 05/14/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 04/24/2009 Correction Date: 05/14/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/24/2009 Correction Date: 05/14/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 03/23/2011 Correction Date: 04/22/2011

Deficiencies from Complaints and Incidents

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

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected