FAIRHAVEN CHRISTIAN RETIREMENT 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 04/01/2011.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/29/2009 Correction Date: 05/18/2009

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: 04/29/2009 Correction Date: 05/18/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/01/2011 Correction Date: 04/25/2011

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 Fairhaven Christian Retirement 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 03/30/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/12/2009 Correction Date: 08/10/2009

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 05/18/2010 Correction Date: 08/01/2010
Approved Construction Type or Materials. Inspection Date: 05/18/2010 Correction Date: 08/01/2010
A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 03/30/2011 Correction Date: 05/15/2011
Approved Construction Type or Materials. Inspection Date: 03/30/2011 Correction Date: 05/15/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 05/18/2010 Correction Date: 08/01/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/18/2010 Correction Date: 08/01/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/30/2011 Correction Date: 04/21/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/18/2010 Correction Date: 08/01/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 03/30/2011 Correction Date: 04/23/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/12/2009 Correction Date: 06/05/2009
Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 03/30/2011 Correction Date: 05/15/2011
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/30/2011 Correction Date: 04/20/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/12/2009 Correction Date: 07/30/2009
Properly Maintained Smoke Detectors. Inspection Date: 03/30/2011 Correction Date: 04/21/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/18/2010 Correction Date: 08/01/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/12/2009 Correction Date: 06/30/2009
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage. Inspection Date: 05/12/2009 Correction Date: 08/10/2009

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 03/30/2011 Correction Date: 05/15/2011
Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 03/30/2011 Correction Date: 05/01/2011