WEST CHICAGO TERRACE

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 08/03/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 06/12/2009 Correction Date: 06/13/2009
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires. Inspection Date: 06/12/2009 Correction Date: 06/13/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/12/2009 Correction Date: 06/13/2009
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture. Inspection Date: 06/12/2009 Correction Date: 06/13/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/03/2010 Correction Date: 10/27/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/01/2008 Correction Date: 10/02/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 06/12/2009 Correction Date: 06/13/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 06/12/2009 Correction Date: 06/13/2009
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: 06/12/2009 Correction Date: 06/13/2009

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 08/01/2008 Correction Date: 10/21/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/01/2008 Correction Date: 10/21/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 08/01/2008 Correction Date: 10/21/2008
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 08/01/2008 Correction Date: 10/21/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/12/2009 Correction Date: 06/13/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 06/12/2009 Correction Date: 06/13/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 08/03/2010 Correction Date: 10/27/2010

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 08/01/2008 Correction Date: 10/02/2008
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet. Inspection Date: 08/01/2008 Correction Date: 10/21/2008
Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 06/12/2009 Correction Date: 06/27/2009
Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Inspection Date: 06/12/2009 Correction Date: 06/13/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 06/12/2009 Correction Date: 06/13/2009

The table below lists incident reports by the nursing staff or administration for West Chicago Terrace, 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: 11/14/2008 Correction Date: 11/15/2008

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. Complaint Filed: 08/01/2008 Correction Date: 10/21/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 04/29/2009 Correction Date: 05/20/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 04/29/2009 Correction Date: 05/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 08/03/2010 Correction Date: 10/27/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 12/28/2010 Correction Date: 01/17/2011

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. Complaint Filed: 08/01/2008 Correction Date: 10/02/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 08/28/2008 Correction Date: 08/31/2008
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. Complaint Filed: 05/01/2009 Correction Date: 05/20/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 12/07/2009 Correction Date: 12/18/2009

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 West Chicago Terrace 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 08/05/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/31/2008 Correction Date: 08/19/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 06/23/2009 Correction Date: 07/31/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/05/2010 Correction Date: 09/20/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 06/23/2009 Correction Date: 07/31/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/23/2009 Correction Date: 07/31/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 08/05/2010 Correction Date: 09/30/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/05/2010 Correction Date: 08/15/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 06/23/2009 Correction Date: 07/31/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/05/2010 Correction Date: 08/11/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 06/23/2009 Correction Date: 07/31/2009
Exits That Are Accessible at All Times. Inspection Date: 08/05/2010 Correction Date: 08/20/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 06/23/2009 Correction Date: 07/31/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 06/23/2009 Correction Date: 07/31/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/05/2010 Correction Date: 08/05/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 06/23/2009 Correction Date: 07/31/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 07/31/2008 Correction Date: 08/19/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 07/31/2008 Correction Date: 08/19/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/05/2010 Correction Date: 08/06/2010