DECATUR MANOR HEALTHCARE

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

DECATUR MANOR HEALTHCARE
1016 WEST PERSHING ROAD
DECATUR, IL 62526
(217) 875-0833

Nursing Home Ratings

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

Percent of Beds Occupied

86%

Number of Residents and Certified Beds

  • Residents: 127
  • Certified Beds: 147

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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Rating Details For Decatur Manor Healthcare

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) Hours32 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours27 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 20 Minutes
Total Licensed Nurse Hours59 Minutes
Total Nurse Hours2 Hours and 19 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 Given Influenza Vaccination During the Flu Season90-100%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%85%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious20%16%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection1%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased-14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder1%44%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Lose Too Much Weight8%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse1%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-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 08/25/2010.

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

Post Nurse Staffing Information.
  • Inspection Date: 11/06/2008
  • Correction Date: 11/24/2008

Environmental

Keep Adequate and Comfortable Lighting in All Areas.
  • Inspection Date: 11/06/2008
  • Correction Date: 11/24/2008
Keep Sound Levels Comfortable.
  • Inspection Date: 11/06/2008
  • Correction Date: 11/24/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 10/01/2009
  • Correction Date: 10/05/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/01/2009
  • Correction Date: 10/05/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 08/25/2010
  • Correction Date: 08/28/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 10/01/2009
  • Correction Date: 10/05/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/01/2009
  • Correction Date: 10/05/2009

Resident Rights

Have a Private Telephone Available for Use.
  • Inspection Date: 08/25/2010
  • Correction Date: 09/03/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Decatur Manor Healthcare, 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

Keep All Essential Equipment Working Safely.
  • Complaint Filed: 05/22/2008
  • Correction Date: 06/16/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/30/2008
  • Correction Date: 11/24/2008
Have Enough Outside Airflow.
  • Complaint Filed: 01/13/2009
  • Correction Date: 01/27/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/13/2009
  • Correction Date: 01/27/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 07/01/2009
  • Correction Date: 07/07/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Complaint Filed: 07/01/2009
  • Correction Date: 07/07/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 01/13/2009
  • Correction Date: 01/27/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 03/23/2011
  • Correction Date: 04/06/2011

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.
  • Complaint Filed: 03/23/2011
  • Correction Date: 04/06/2011

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 Decatur Manor Healthcare 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 10/28/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/09/2009
Have an Adequate Water Supply for the Sprinkler System.
  • Inspection Date: 12/17/2008
  • Correction Date: 02/11/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/29/2009
  • Correction Date: 10/30/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/03/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 12/17/2008
  • Correction Date: 12/22/2008
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/29/2009
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/02/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/06/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/17/2008
  • Correction Date: 12/19/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/28/2010
  • Correction Date: 10/29/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/09/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/05/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/29/2009
  • Correction Date: 10/30/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/28/2010
  • Correction Date: 10/29/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/28/2010
  • Correction Date: 11/02/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/09/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 12/17/2008
  • Correction Date: 02/11/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/23/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/23/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/17/2008
  • Correction Date: 12/22/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/11/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 10/29/2009
  • Correction Date: 10/30/2009
Source: Medicare Nursing Home Compare; Illinois Department of Public Health - Retrieved 2011