MARIANJOY REHABILITATION HOSPITAL-SKILLED NURSING FACILITY

The information listed below provides an in-depth look into the type and quality of care offered at Marianjoy Rehabilitation Hospital-Skilled Nursing Facility. 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

MARIANJOY REHABILITATION HOSPITAL-SKILLED NURSING FACILITY
21 W 171 ROOSEVELT ROAD
WHEATON, IL 60187
(630) 909-8030

Nursing Home Ratings

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

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 19
  • Certified Beds: 20

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • Located Inside of a Hospital Facility
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Winfield | Carol Stream | Lombard

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 "Ultra-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 Marianjoy Rehabilitation Hospital-Skilled Nursing Facility. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.1%
Total Percent:1.1%
 

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: 6-1026.7%
ADL Index Range: 0-558.0%
Total Percent:84.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-101.6%
ADL Index Range: 0-59.9%
Total Percent:11.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-100.5%
ADL Index Range: 0-51.9%
Total Percent:2.4%
 

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: 6-10
- No Signs of depression
0.2%
Total Percent:0.2%
 

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: 0-1
- No Signs of depression
0.2%
Total Percent:0.2%
 

Rating Details For Marianjoy Rehabilitation Hospital-Skilled Nursing Facility

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) Hours2 Hours and 44 Minutes1 Hour and 31 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours42 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 48 Minutes1 Hour and 60 Minutes
Total Licensed Nurse Hours2 Hours and 44 Minutes2 Hours and 14 Minutes
Total Nurse Hours4 Hours and 33 Minutes4 Hours and 13 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

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 Pressure Sores5%13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain80%20%
Percent of Short-Stay Residents Who Have Delirium-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 11/05/2010.

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

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/23/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010

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: 11/05/2010
  • Correction Date: 11/24/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/24/2010
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 11/05/2010
  • Correction Date: 11/23/2010

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)11/05/2010$3,250

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 Marianjoy Rehabilitation Hospital-Skilled Nursing Facility 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 11/04/2010.

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

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 09/17/2009
  • Correction Date: 10/23/2009
Approved Construction Type or Materials.
  • Inspection Date: 11/04/2010
  • Correction Date: 11/09/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/29/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/23/2008
  • Correction Date: 11/07/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/23/2008
  • Correction Date: 11/15/2008
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/29/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/30/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 10/23/2008
  • Correction Date: 11/29/2008
Proper Exit Design.
  • Inspection Date: 10/23/2008
  • Correction Date: 10/24/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/29/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 11/04/2010
  • Correction Date: 11/09/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 10/23/2008
  • Correction Date: 11/07/2008
Properly Maintained Smoke Detectors.
  • Inspection Date: 11/04/2010
  • Correction Date: 11/09/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/17/2009
  • Correction Date: 10/23/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/30/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/04/2010
  • Correction Date: 11/04/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/17/2009
  • Correction Date: 09/18/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/17/2009
  • Correction Date: 10/23/2009

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 10/23/2008
  • Correction Date: 10/28/2008
Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 11/04/2010
  • Correction Date: 11/04/2010
Source: Medicare Nursing Home Compare; Illinois Department of Public Health - Retrieved 2011