MONROE PAVILION HEALTH-TREATMENT 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 07/29/2010.

Administration

Follow All Laws and Professional Standards. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 09/25/2009 Correction Date: 10/15/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/25/2009 Correction Date: 10/15/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 09/25/2009 Correction Date: 10/15/2009
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 09/25/2009 Correction Date: 01/01/1900
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 09/25/2009 Correction Date: 10/15/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/29/2010 Correction Date: 08/19/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 08/26/2008 Correction Date: 09/24/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/29/2010 Correction Date: 08/19/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 07/29/2010 Correction Date: 08/19/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/25/2009 Correction Date: 10/15/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/25/2009 Correction Date: 10/15/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/29/2010 Correction Date: 08/19/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 07/29/2010 Correction Date: 08/19/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/26/2008 Correction Date: 09/24/2008

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate. Inspection Date: 08/26/2008 Correction Date: 09/24/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 09/25/2009 Correction Date: 10/15/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 09/25/2009 Correction Date: 10/15/2009

The table below lists incident reports by the nursing staff or administration for Monroe Pavilion Health-Treatment Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 07/29/2010 Correction Date: 08/19/2010
Provide Needed Housekeeping and Maintenance. Complaint Filed: 01/06/2011 Correction Date: 01/31/2011

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 07/29/2010 Correction Date: 08/19/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/29/2010 Correction Date: 08/19/2010

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 01/06/2011 Correction Date: 01/31/2011

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 Monroe Pavilion Health-Treatment 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 07/30/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/29/2008 Correction Date: 10/10/2008
Properly Working Alarms on Sprinkler Valves. Inspection Date: 07/30/2010 Correction Date: 08/10/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/29/2008 Correction Date: 10/15/2008

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/29/2008 Correction Date: 09/24/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/30/2010 Correction Date: 08/12/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/29/2008 Correction Date: 09/24/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/30/2010 Correction Date: 08/10/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/29/2008 Correction Date: 09/24/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 10/09/2009 Correction Date: 10/09/2009