ENFIELD REHAB & HEALTH CARE CENTER

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 07/28/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 05/01/2008 Correction Date: 06/13/2008
Choose a Doctor to Be the Medical Director. Inspection Date: 05/01/2008 Correction Date: 06/13/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/01/2008 Correction Date: 06/13/2008
Post Nurse Staffing Information. Inspection Date: 07/28/2010 Correction Date: 08/10/2010

Environmental

Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 05/01/2008 Correction Date: 06/13/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 05/01/2008 Correction Date: 05/27/2008
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 06/04/2009 Correction Date: 07/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/28/2010 Correction Date: 08/10/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/28/2010 Correction Date: 08/10/2010
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 07/28/2010 Correction Date: 08/04/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/28/2010 Correction Date: 08/10/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 07/28/2010 Correction Date: 08/02/2010

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: 05/01/2008 Correction Date: 06/13/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/28/2010 Correction Date: 08/10/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/28/2010 Correction Date: 08/10/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/28/2010 Correction Date: 08/10/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/01/2008 Correction Date: 05/24/2008
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: 07/28/2010 Correction Date: 08/10/2010

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 05/01/2008 Correction Date: 05/21/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/01/2008 Correction Date: 06/03/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/01/2008 Correction Date: 05/22/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 05/01/2008 Correction Date: 05/22/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 05/01/2008 Correction Date: 05/22/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week. Inspection Date: 05/01/2008 Correction Date: 06/13/2008
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 05/01/2008 Correction Date: 05/27/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/04/2009 Correction Date: 07/01/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 06/04/2009 Correction Date: 07/10/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/28/2010 Correction Date: 08/04/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/28/2010 Correction Date: 08/05/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 07/28/2010 Correction Date: 08/10/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/01/2008 Correction Date: 05/20/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 05/01/2008 Correction Date: 05/20/2008
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: 05/01/2008 Correction Date: 05/21/2008
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: 06/04/2009 Correction Date: 07/03/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/28/2010 Correction Date: 08/10/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 07/28/2010 Correction Date: 08/10/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/28/2010 Correction Date: 08/10/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 05/01/2008 Correction Date: 05/01/2008
Have a Private Telephone Available for Use. Inspection Date: 07/28/2010 Correction Date: 08/10/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/28/2010 Correction Date: 08/10/2010

The table below lists incident reports by the nursing staff or administration for Enfield Rehab & Health Care Center, as well as complaints by residents or their family in the previous three years.

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator. Complaint Filed: 07/23/2008 Correction Date: 08/08/2008

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 Enfield Rehab & Health Care Center 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 09/14/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/14/2010 Correction Date: 10/21/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/14/2010 Correction Date: 10/01/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 05/01/2008 Correction Date: 06/13/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 05/01/2008 Correction Date: 06/13/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/01/2008 Correction Date: 06/13/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 06/03/2009 Correction Date: 07/03/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 06/03/2009 Correction Date: 06/04/2009
Proper Backup Exit Lighting. Inspection Date: 09/14/2010 Correction Date: 09/21/2010