NAZARETHVILLE

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 10/08/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 10/08/2010 Correction Date: 10/08/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/08/2010 Correction Date: 10/27/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/08/2010 Correction Date: 10/27/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 10/08/2010 Correction Date: 10/27/2010
Keep All Essential Equipment Working Safely. Inspection Date: 10/08/2010 Correction Date: 10/27/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 10/08/2010 Correction Date: 10/27/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/06/2008 Correction Date: 11/24/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/10/2009 Correction Date: 10/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/08/2010 Correction Date: 10/27/2010

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: 09/10/2009 Correction Date: 10/14/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/08/2010 Correction Date: 10/27/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/08/2010 Correction Date: 10/27/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/10/2009 Correction Date: 10/14/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/08/2010 Correction Date: 10/27/2010

Resident Assessment

Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Inspection Date: 10/08/2010 Correction Date: 10/27/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 10/08/2010 Correction Date: 10/09/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 10/08/2010 Correction Date: 10/08/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/08/2010 Correction Date: 10/27/2010
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: 10/08/2010 Correction Date: 10/27/2010

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 Nazarethville 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 10/15/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/06/2008 Correction Date: 11/06/2008

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 11/06/2008 Correction Date: 11/01/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 09/18/2009 Correction Date: 11/01/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 11/06/2008 Correction Date: 12/31/2008
Properly Maintained Smoke Detectors. Inspection Date: 10/15/2010 Correction Date: 10/22/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 11/06/2008 Correction Date: 11/07/2008