BROOKSIDE MANOR

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 03/30/2010.

Administration

Hire a Qualified Activities Director. Inspection Date: 03/30/2010 Correction Date: 05/14/2010
Post Nurse Staffing Information. Inspection Date: 03/30/2010 Correction Date: 04/24/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/30/2008 Correction Date: 02/01/2008
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 01/30/2008 Correction Date: 02/14/2008
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 01/30/2008 Correction Date: 02/01/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 02/26/2009 Correction Date: 04/01/2009
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 02/26/2009 Correction Date: 03/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/26/2009 Correction Date: 03/03/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 02/26/2009 Correction Date: 03/02/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 03/30/2010 Correction Date: 04/19/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/30/2010 Correction Date: 04/19/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/30/2010 Correction Date: 04/09/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/30/2008 Correction Date: 02/01/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/30/2008 Correction Date: 02/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/26/2009 Correction Date: 03/09/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/26/2009 Correction Date: 03/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 02/26/2009 Correction Date: 03/13/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 02/26/2009 Correction Date: 03/19/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/30/2010 Correction Date: 04/23/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 02/26/2009 Correction Date: 03/16/2009
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: 02/26/2009 Correction Date: 03/13/2009

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 02/26/2009 Correction Date: 03/09/2009

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

Administration

Follow All Laws and Professional Standards. Complaint Filed: 10/29/2010 Correction Date: 11/12/2010
Quickly Tell the Resident's Doctor the Results of Lab Tests. Complaint Filed: 10/29/2010 Correction Date: 11/16/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 10/29/2010 Correction Date: 10/29/2010
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: 10/29/2010 Correction Date: 10/29/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 10/29/2010 Correction Date: 10/29/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 10/29/2010 Correction Date: 10/29/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 10/29/2010 Correction Date: 11/22/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 10/29/2010 Correction Date: 10/29/2010
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. Complaint Filed: 10/29/2010 Correction Date: 11/05/2010

Resident Rights

Have a Private Telephone Available for Use. Complaint Filed: 10/29/2010 Correction Date: 11/01/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 10/29/2010 Correction Date: 10/29/2010

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 Brookside Manor 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 07/08/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/08/2010 Correction Date: 08/13/2010

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 07/08/2010 Correction Date: 07/27/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 07/08/2010 Correction Date: 07/12/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/08/2010 Correction Date: 07/14/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/25/2009 Correction Date: 02/27/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/08/2010 Correction Date: 07/22/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 07/08/2010 Correction Date: 07/20/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 07/08/2010 Correction Date: 07/27/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/08/2010 Correction Date: 08/26/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 07/08/2010 Correction Date: 07/15/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 07/08/2010 Correction Date: 07/14/2010