ST. MARTHA MANOR

The information listed below provides an in-depth look into the type and quality of care offered at St. Martha Manor. 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

ST. MARTHA MANOR
4621 NORTH RACINE AVENUE
CHICAGO, IL 60640
(773) 784-2300

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 116
  • Certified Beds: 132

This Facility Accepts

  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Lincolnwood | Evanston | Skokie

Rating Details For St. Martha Manor

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 DayReportedExpected
Registered Nurse (RN) Hours23 Minutes43 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours32 Minutes32 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 23 Minutes2 Hours and 2 Minutes
Total Licensed Nurse Hours54 Minutes1 Hour and 14 Minutes
Total Nurse Hours2 Hours and 17 Minutes3 Hours and 17 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 FacilityIllinois Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination70%85%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection2%9%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased5%14%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores23%13%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%16%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder32%44%
Percent of Long-Stay Residents Who Lose Too Much Weight3%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%

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 11/24/2010.

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 InspectorsDegree of HarmResidents Affected

Administration

Follow All Laws and Professional Standards.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/08/2009
  • Correction Date: 01/27/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 01/08/2009
  • Correction Date: 01/09/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 12/11/2009
  • Correction Date: 12/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010
Get Rid of Garbage Properly.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/24/2010
  • Correction Date: 12/20/2010

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: 01/08/2009
  • Correction Date: 01/27/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/08/2009
  • Correction Date: 01/19/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/08/2009
  • Correction Date: 02/03/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010

Resident Assessment

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: 12/11/2009
  • Correction Date: 01/25/2010

Resident Rights

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: 12/11/2009
  • Correction Date: 01/25/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/11/2009
  • Correction Date: 01/25/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. Martha Manor, 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 ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/01/2008
  • Correction Date: 08/28/2008

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/01/2008
  • Correction Date: 08/27/2008

Quality Care

Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Complaint Filed: 07/09/2009
  • Correction Date: 07/29/2009

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Complaint Filed: 04/22/2011
  • Correction Date: 05/18/2011

Fire Safety

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 St. Martha Manor 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 12/15/2010.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/29/2009
  • Correction Date: 04/07/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/29/2009
  • Correction Date: 04/07/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/29/2009
  • Correction Date: 04/07/2009

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 12/30/2009
  • Correction Date: 01/01/1900
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 12/30/2009
  • Correction Date: 01/01/1900
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 12/15/2010
  • Correction Date: 01/01/1900

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/29/2009
  • Correction Date: 04/07/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/29/2009
  • Correction Date: 04/07/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 01/29/2009
  • Correction Date: 04/07/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/15/2010
  • Correction Date: 12/17/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 12/15/2010
  • Correction Date: 01/13/2011
Source: Medicare Nursing Home Compare; Illinois Department of Public Health - Retrieved 2011