SHARON HEALTH CARE WILLOWS

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 09/17/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 09/11/2008 Correction Date: 10/01/2008

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/11/2008 Correction Date: 10/31/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/11/2008 Correction Date: 10/01/2008
Keep All Essential Equipment Working Safely. Inspection Date: 09/11/2008 Correction Date: 10/01/2008

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: 10/01/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 08/21/2009 Correction Date: 09/13/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/11/2008 Correction Date: 10/03/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 09/11/2008 Correction Date: 10/01/2008

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: 09/17/2010 Correction Date: 09/29/2010

The table below lists incident reports by the nursing staff or administration for Sharon Health Care Willows, as well as complaints by residents or their family in the previous three years.

Environmental

Provide Needed Housekeeping and Maintenance. Complaint Filed: 06/13/2008 Correction Date: 06/30/2008
Have a Program to Keep Infection from Spreading. Complaint Filed: 06/13/2008 Correction Date: 06/30/2008

Quality Care

Give or Get Special Rehabilitation if in the Patient's Plan of Care. Complaint Filed: 03/01/2011 Correction Date: 03/17/2011

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: 02/08/2011 Correction Date: 02/23/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Complaint Filed: 05/29/2008 Correction Date: 06/18/2008

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 Sharon Health Care Willows 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 09/29/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 09/08/2008 Correction Date: 11/15/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/08/2008 Correction Date: 12/29/2008
Have an Adequate Water Supply for the Sprinkler System. Inspection Date: 09/08/2008 Correction Date: 11/15/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/26/2009 Correction Date: 11/11/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/29/2010 Correction Date: 10/31/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 08/26/2009 Correction Date: 10/11/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/08/2008 Correction Date: 11/15/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/08/2008 Correction Date: 09/30/2008
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 08/26/2009 Correction Date: 11/11/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/08/2008 Correction Date: 11/15/2008
Resident Room Doors of Proper Design and Width. Inspection Date: 09/08/2008 Correction Date: 11/15/2008
Exits That Are Accessible at All Times. Inspection Date: 08/26/2009 Correction Date: 09/21/2009
Exits That Are Accessible at All Times. Inspection Date: 09/29/2010 Correction Date: 10/31/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/08/2008 Correction Date: 11/15/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/26/2009 Correction Date: 09/11/2009
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/29/2010 Correction Date: 10/01/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 08/26/2009 Correction Date: 09/21/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/08/2008 Correction Date: 11/15/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/26/2009 Correction Date: 11/11/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/29/2010 Correction Date: 10/15/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 09/08/2008 Correction Date: 11/15/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/29/2010 Correction Date: 11/12/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 09/08/2008 Correction Date: 11/15/2008
Fire-Resistant Interior Walls. Inspection Date: 08/26/2009 Correction Date: 10/11/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/08/2008 Correction Date: 09/30/2008
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 08/26/2009 Correction Date: 10/11/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/26/2009 Correction Date: 11/11/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/26/2009 Correction Date: 10/11/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/29/2010 Correction Date: 10/31/2010
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/29/2010 Correction Date: 11/12/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/26/2009 Correction Date: 09/21/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 09/08/2008 Correction Date: 11/15/2008