CRESTWOOD 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 08/26/2010.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 08/08/2008 Correction Date: 08/11/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 08/08/2008 Correction Date: 08/11/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/10/2009 Correction Date: 09/11/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 09/10/2009 Correction Date: 09/11/2009

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: 08/08/2008 Correction Date: 08/11/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/10/2009 Correction Date: 09/11/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/26/2010 Correction Date: 08/27/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 08/08/2008 Correction Date: 08/11/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 08/08/2008 Correction Date: 08/11/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/08/2008 Correction Date: 08/11/2008

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/26/2010 Correction Date: 08/27/2010
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 08/26/2010 Correction Date: 08/27/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/10/2009 Correction Date: 09/11/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/26/2010 Correction Date: 08/27/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/26/2010 Correction Date: 08/27/2010

The table below lists incident reports by the nursing staff or administration for Crestwood 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: 07/07/2009 Correction Date: 07/08/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/01/2011 Correction Date: 04/04/2011

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: 02/18/2010 Correction Date: 02/19/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Complaint Filed: 08/08/2008 Correction Date: 08/11/2008

Quality Care

Give or Get Dental Care for Each Resident. Complaint Filed: 05/12/2008 Correction Date: 06/06/2008
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 02/18/2010 Correction Date: 02/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 11/24/2010 Correction Date: 11/25/2010

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 05/12/2008 Correction Date: 06/06/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Complaint Filed: 05/12/2008 Correction Date: 05/20/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Complaint Filed: 02/18/2010 Correction Date: 02/19/2010

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 Crestwood 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 08/19/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/06/2008 Correction Date: 09/01/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 10/01/2009 Correction Date: 10/01/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/19/2010 Correction Date: 09/01/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 08/19/2010 Correction Date: 09/01/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/01/2009 Correction Date: 10/01/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/01/2009 Correction Date: 10/01/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 08/06/2008 Correction Date: 09/01/2008

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 10/01/2009 Correction Date: 10/01/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 08/19/2010 Correction Date: 09/01/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/19/2010 Correction Date: 09/01/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/06/2008 Correction Date: 09/01/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 08/19/2010 Correction Date: 09/01/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/06/2008 Correction Date: 09/01/2008