NORTH CHURCH NURSING & REHAB

The information listed below provides an in-depth look into the type and quality of care offered at North Church Nursing & Rehab. 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

NORTH CHURCH NURSING & REHAB
1021 NORTH CHURCH STREET
JACKSONVILLE, IL 62650
(217) 245-4174

Nursing Home Ratings

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

Percent of Beds Occupied

50%

Number of Residents and Certified Beds

  • Residents: 57
  • Certified Beds: 113

This Facility Accepts

  • Medicare
  • 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:

Virginia | Beardstown | White Hall

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 "Very High Rehabilitation". 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 North Church Nursing & Rehab. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-104.1%
ADL Index Range: 0-512.7%
Total Percent:16.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.2%
ADL Index Range: 6-109.5%
ADL Index Range: 0-513.0%
Total Percent:31.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1631.1%
Total Percent:31.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.0%
ADL Index Range: 0-516.0%
Total Percent:18.9%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.3%
Total Percent:0.3%
 

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
1.2%
Total Percent:1.2%
 

Rating Details For North Church Nursing & Rehab

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) Hours14 Minutes1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 9 Minutes2 Hours and 9 Minutes
Total Licensed Nurse Hours1 Hour and 17 Minutes1 Hour and 45 Minutes
Total Nurse Hours3 Hours and 26 Minutes3 Hours and 53 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 Have Moderate to Severe Pain6%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores19%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%
Percent of Long-Stay Residents Who Lose Too Much Weight14%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder32%44%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%16%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%12%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%80%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores24%13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain29%20%

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 12/17/2010.

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

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/06/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/22/2009
  • Correction Date: 01/08/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/05/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/14/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/06/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/22/2009
  • Correction Date: 11/12/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 12/17/2010
  • Correction Date: 12/27/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/21/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 12/17/2010
  • Correction Date: 12/27/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/30/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 10/22/2009
  • Correction Date: 10/24/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)05/19/2009$6,477
Civil Money Penalty (CMP)05/19/2009$10,121
Denial of Payment for New Admission (DPNA)05/19/2009-
Denial of Payment for New Admission (DPNA)09/23/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for North Church Nursing & Rehab, 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

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 04/17/2008
  • Correction Date: 05/23/2008
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Complaint Filed: 05/19/2009
  • Correction Date: 06/11/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 05/19/2009
  • Correction Date: 05/22/2009
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 06/03/2009
  • Correction Date: 06/09/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 09/23/2009
  • Correction Date: 10/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/22/2009
  • Correction Date: 11/06/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 01/08/2010
  • Correction Date: 01/08/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Complaint Filed: 04/06/2011
  • Correction Date: 04/07/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 06/03/2009
  • Correction Date: 06/05/2009
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.
  • Complaint Filed: 06/03/2009
  • Correction Date: 06/05/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/03/2009
  • Correction Date: 06/05/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 10/22/2009
  • Correction Date: 10/23/2009

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs.
  • Complaint Filed: 10/22/2009
  • Correction Date: 11/06/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 09/23/2009
  • Correction Date: 09/24/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 09/23/2009
  • Correction Date: 10/14/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/17/2008
  • Correction Date: 05/23/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 04/17/2008
  • Correction Date: 05/23/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/01/2008
  • Correction Date: 05/23/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Complaint Filed: 06/03/2009
  • Correction Date: 08/01/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 06/03/2009
  • Correction Date: 07/30/2009
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.
  • Complaint Filed: 09/23/2009
  • Correction Date: 11/09/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/23/2009
  • Correction Date: 12/21/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/23/2009
  • Correction Date: 10/14/2009
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.
  • Complaint Filed: 10/22/2009
  • Correction Date: 11/09/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 10/22/2009
  • Correction Date: 11/09/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 10/22/2009
  • Correction Date: 11/09/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 12/18/2009
  • Correction Date: 12/21/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 03/04/2011
  • Correction Date: 03/11/2011
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.
  • Complaint Filed: 05/05/2011
  • Correction Date: 05/06/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 05/01/2008
  • Correction Date: 05/23/2008

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: 05/05/2011
  • Correction Date: 05/06/2011

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 North Church Nursing & Rehab 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 01/19/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 10/28/2009
  • Correction Date: 12/30/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/03/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/19/2011
  • Correction Date: 01/27/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 10/28/2009
  • Correction Date: 12/30/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/19/2011
  • Correction Date: 01/27/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/19/2011
  • Correction Date: 01/27/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 12/31/2008
  • Correction Date: 01/28/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/28/2009
  • Correction Date: 11/14/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/28/2009
  • Correction Date: 12/30/2009

Fire Alarm Systems

An Automatic Smoke Detection System in All Hallways.
  • Inspection Date: 10/28/2009
  • Correction Date: 12/30/2009

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 10/28/2009
  • Correction Date: 11/14/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/28/2009
  • Correction Date: 11/14/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/19/2011
  • Correction Date: 01/25/2011

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 10/28/2009
  • Correction Date: 11/14/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 10/28/2009
  • Correction Date: 11/14/2009
Source: Medicare Nursing Home Compare; Illinois Department of Public Health - Retrieved 2011