LITCHFIELD CARE CENTER

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 08/12/2010.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/11/2008 Correction Date: 11/14/2008
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/11/2008 Correction Date: 10/05/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/23/2009 Correction Date: 08/20/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/12/2010 Correction Date: 09/24/2010

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: 08/12/2010 Correction Date: 09/17/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/12/2010 Correction Date: 09/17/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 09/11/2008 Correction Date: 11/17/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 09/11/2008 Correction Date: 11/17/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/11/2008 Correction Date: 11/25/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/23/2009 Correction Date: 08/06/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 09/11/2008 Correction Date: 11/03/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/23/2009 Correction Date: 08/04/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/23/2009 Correction Date: 08/04/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/11/2008 Correction Date: 11/03/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/11/2008 Correction Date: 11/17/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/11/2008 Correction Date: 11/03/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/23/2009 Correction Date: 08/04/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/23/2009 Correction Date: 07/23/2009

The table below lists incident reports by the nursing staff or administration for Litchfield Care Center, 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: 05/21/2009 Correction Date: 06/15/2009

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 Litchfield Care Center 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 08/24/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/03/2008 Correction Date: 09/03/2009
Properly Working Alarms on Sprinkler Valves. Inspection Date: 09/03/2008 Correction Date: 09/12/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/03/2008 Correction Date: 10/27/2008
Have an Adequate Water Supply for the Sprinkler System. Inspection Date: 09/03/2008 Correction Date: 09/03/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/28/2009 Correction Date: 11/12/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/24/2010 Correction Date: 10/08/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/24/2010 Correction Date: 10/08/2010
Have an Adequate Water Supply for the Sprinkler System. Inspection Date: 08/24/2010 Correction Date: 10/08/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 08/24/2010 Correction Date: 10/08/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 08/28/2009 Correction Date: 11/12/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/03/2008 Correction Date: 10/01/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 08/24/2010 Correction Date: 01/01/1900

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/03/2008 Correction Date: 09/26/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 08/28/2009 Correction Date: 11/12/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/28/2009 Correction Date: 11/12/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 08/24/2010 Correction Date: 10/08/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/24/2010 Correction Date: 10/08/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/03/2008 Correction Date: 10/18/2008
Exits That Are Accessible at All Times. Inspection Date: 08/24/2010 Correction Date: 10/08/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/03/2008 Correction Date: 10/18/2008
Properly Maintained Smoke Detectors. Inspection Date: 09/03/2008 Correction Date: 10/18/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/28/2009 Correction Date: 11/12/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/28/2009 Correction Date: 11/12/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/24/2010 Correction Date: 10/08/2010
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 08/24/2010 Correction Date: 10/08/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/03/2008 Correction Date: 10/07/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/28/2009 Correction Date: 11/12/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/24/2010 Correction Date: 10/08/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/03/2008 Correction Date: 09/03/2008