THE TERRACE NH

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

THE TERRACE NH
1615 SUNSET AVENUE
WAUKEGAN, IL 60087
(847) 244-6700

Nursing Home Ratings

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

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 109
  • Certified Beds: 115

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Zion | Lake Bluff | Libertyville

Resident Services

The information below lists services this facility has provided for residents from December through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Terrace Nh. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1622.9%
ADL Index Range: 6-1012.1%
ADL Index Range: 0-512.1%
Total Percent:47.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1013.3%
ADL Index Range: 0-515.7%
Total Percent:28.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.8%
ADL Index Range: 0-516.9%
Total Percent:21.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
2.4%
Total Percent:2.4%
 

Rating Details For The Terrace Nh

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) Hours55 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours10 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 53 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 5 Minutes1 Hour and 31 Minutes
Total Nurse Hours2 Hours and 58 Minutes3 Hours and 55 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 Vaccination90-100%85%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%12%
Percent of Long-Stay Residents Who Were Physically Restrained4%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased23%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%44%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%13%
Percent of Long-Stay Residents Who Lose Too Much Weight11%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious18%16%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%82%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores13%13%
Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain32%20%

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 03/03/2011.

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

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/08/2010
  • Correction Date: 04/26/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/23/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/23/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/20/2009
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: 03/03/2011
  • Correction Date: 03/23/2011
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/23/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/20/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/20/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/20/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/20/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/08/2010
  • Correction Date: 04/26/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/08/2010
  • Correction Date: 04/26/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/23/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/23/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/23/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/23/2011

Resident Assessment

Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/20/2009
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 03/26/2009
  • Correction Date: 04/20/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/08/2010
  • Correction Date: 04/26/2010

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/22/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)02/04/2010$8,700

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Terrace Nh, 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

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 08/12/2010
  • Correction Date: 08/26/2010

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 10/07/2009
  • Correction Date: 11/06/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/04/2010
  • Correction Date: 03/05/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Complaint Filed: 02/04/2010
  • Correction Date: 03/05/2010

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 The Terrace Nh 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 04/07/2011.

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: 03/24/2009
  • Correction Date: 05/10/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 06/16/2010
  • Correction Date: 06/23/2010
Approved Construction Type or Materials.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/25/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 04/07/2011
  • Correction Date: 10/01/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/10/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/16/2010
  • Correction Date: 06/23/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/10/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/10/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/10/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/10/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 06/16/2010
  • Correction Date: 06/23/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 06/16/2010
  • Correction Date: 08/15/2010
Properly Maintained Smoke Detectors.
  • Inspection Date: 06/16/2010
  • Correction Date: 06/25/2010
Properly Maintained Smoke Detectors.
  • Inspection Date: 04/07/2011
  • Correction Date: 06/30/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/10/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/24/2009
  • Correction Date: 05/10/2009

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 04/07/2011
  • Correction Date: 04/09/2011
Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 04/07/2011
  • Correction Date: 06/30/2011
Source: Medicare Nursing Home Compare; Illinois Department of Public Health - Retrieved 2011