CHURCH CREEK

The information below lists services this facility has provided for residents from October 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 Church Creek. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care Low

Clinically Complex

Reduced Physical Function

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.

Short-Term Stay Preventive Actions

Short-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 07/22/2010.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/24/2009 Correction Date: 11/06/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 07/22/2010 Correction Date: 08/30/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/06/2008 Correction Date: 09/09/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 09/24/2009 Correction Date: 11/03/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/06/2008 Correction Date: 09/09/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/24/2009 Correction Date: 11/04/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/24/2009 Correction Date: 11/04/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/22/2010 Correction Date: 08/20/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 07/22/2010 Correction Date: 08/30/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/22/2010 Correction Date: 08/20/2010

The table below lists incident reports by the nursing staff or administration for Church Creek, as well as complaints by residents or their family in the previous three years.

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 03/31/2011 Correction Date: 05/02/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/23/2008 Correction Date: 07/23/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 03/09/2009 Correction Date: 04/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 07/29/2009 Correction Date: 08/14/2009

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: 07/23/2008 Correction Date: 07/23/2008

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 Church Creek 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 08/06/2010.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 08/15/2008 Correction Date: 09/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/15/2008 Correction Date: 09/29/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 11/10/2009 Correction Date: 12/25/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 08/15/2008 Correction Date: 09/29/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/15/2008 Correction Date: 09/29/2008
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 11/10/2009 Correction Date: 12/25/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 11/10/2009 Correction Date: 12/25/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/15/2008 Correction Date: 09/29/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 11/10/2009 Correction Date: 12/25/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/10/2009 Correction Date: 12/25/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/15/2008 Correction Date: 09/29/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 11/10/2009 Correction Date: 12/25/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/15/2008 Correction Date: 09/29/2008
Exits That Are Accessible at All Times. Inspection Date: 11/10/2009 Correction Date: 12/25/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 11/10/2009 Correction Date: 12/25/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/15/2008 Correction Date: 09/29/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/10/2009 Correction Date: 12/25/2009

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 11/10/2009 Correction Date: 12/25/2009