BRYN MAWR CARE

The information listed below provides an in-depth look into the type and quality of care offered at Bryn Mawr Care. 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

BRYN MAWR CARE
5547 NORTH KENMORE
CHICAGO, IL 60640
(773) 561-7040

Nursing Home Ratings

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

Percent of Beds Occupied

97%

Number of Residents and Certified Beds

  • Residents: 168
  • Certified Beds: 174

This Facility Accepts

  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Evanston | Lincolnwood | Skokie

Rating Details For Bryn Mawr Care

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) Hours33 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours28 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 21 Minutes
Total Licensed Nurse Hours1 Hour
Total Nurse Hours2 Hours and 22 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 Who Were Assessed and Given Pneumococcal Vaccination48%85%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season53%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Lose Too Much Weight5%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection-9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse-12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder1%44%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased1%14%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain7%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious3%16%

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 07/29/2010.

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: 06/26/2008
  • Correction Date: 07/17/2008
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 06/26/2008
  • Correction Date: 07/17/2008
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 08/06/2009
  • Correction Date: 08/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/10/2010
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/20/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/10/2010

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: 08/06/2009
  • Correction Date: 08/21/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 08/06/2009
  • Correction Date: 08/21/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/09/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/26/2008
  • Correction Date: 07/17/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 06/26/2008
  • Correction Date: 07/17/2008
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 06/26/2008
  • Correction Date: 07/17/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 08/06/2009
  • Correction Date: 08/21/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/06/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/13/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 08/06/2009
  • Correction Date: 08/21/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 07/29/2010
  • Correction Date: 08/16/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Bryn Mawr Care, 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

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 04/02/2010
  • Correction Date: 04/02/2010

Environmental

Get Rid of Garbage Properly.
  • Complaint Filed: 02/17/2009
  • Correction Date: 03/04/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/02/2010
  • Correction Date: 04/02/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 04/02/2010
  • Correction Date: 04/02/2010

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 Bryn Mawr Care 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 08/18/2010.

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

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/02/2008
  • Correction Date: 07/17/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/26/2009
  • Correction Date: 09/04/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 08/18/2010
  • Correction Date: 09/07/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/02/2008
  • Correction Date: 07/16/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 08/18/2010
  • Correction Date: 09/07/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 07/02/2008
  • Correction Date: 07/07/2008
Properly Maintained Smoke Detectors.
  • Inspection Date: 08/18/2010
  • Correction Date: 09/07/2010

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 08/18/2010
  • Correction Date: 09/20/2010
Source: Medicare Nursing Home Compare; Illinois Department of Public Health - Retrieved 2011