TRANSITIONS NURSING AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Transitions Nursing and Rehabilitation Center. 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

TRANSITIONS NURSING AND REHABILITATION CENTER
1000 DIXON AVENUE
ROCK FALLS, IL 61071
(815) 625-8510

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

73%

Number of Residents and Certified Beds

Residents: 40
Certified Beds: 55

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Partnership
Offers Only Resident Counseling
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Sterling | Dixon | Morrison

Resident Services

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 "Very 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 Transitions Nursing and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
Tracheostomy care
Ventilator or respirator
Isolation for active infectious disease while a resident
Activities of Daily Living (ADL) score of 2 or more

ADL Index Range: 11-16	5.2%
ADL Index Range: 2-10	3.1%
Total Percent:	8.3%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	6.6%
ADL Index Range: 0-5	68.0%
Total Percent:	74.6%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	9.3%
ADL Index Range: 0-5	1.0%
Total Percent:	10.3%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	3.9%
ADL Index Range: 0-5	2.7%
Total Percent:	6.6%

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum

Three days any combination of three rehabilitation disciplines
Two services of restorative nursing six days per week

ADL Index Range: 0-10	0.2%
Total Percent:	0.2%

Rating Details For Transitions Nursing and Rehabilitation Center

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 Day	Reported	Expected
Registered Nurse (RN) Hours	30 Minutes	1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	41 Minutes	38 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 11 Minutes	2 Hours and 10 Minutes
Total Licensed Nurse Hours	1 Hour and 11 Minutes	1 Hour and 39 Minutes
Total Nurse Hours	3 Hours and 22 Minutes	3 Hours and 48 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 Facility

Illinois Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	85%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	4%	3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	14%	9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	6%	12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	15%	44%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	9%	4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	8%	14%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	8%	5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	30%	16%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	20%	13%
Percent of Long-Stay Residents Who Were Physically Restrained	9%	5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	4%	3%
Percent of Long-Stay Residents Who Lose Too Much Weight	11%	9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	80%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	31%	20%
Percent of Short-Stay Residents Who Have Delirium	-	3%
Percent of Short-Stay Residents Who Have Pressure Sores	38%	13%

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 06/10/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Post Nurse Staffing Information. Inspection Date: 07/02/2009 Correction Date: 07/02/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/02/2009 Correction Date: 08/13/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Keep All Essential Equipment Working Safely. Inspection Date: 07/24/2008 Correction Date: 08/05/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 07/24/2008 Correction Date: 07/24/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/02/2009 Correction Date: 07/30/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure Each Resident Has 1) at Least One Window to the Outside in a Room; 2) a Room at or Above Ground Level; 3) an Adequate Bed; 4) Furniture That Meets the Resident's Needs; or 5) Enough Closet Space. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 07/02/2009 Correction Date: 07/02/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/10/2010 Correction Date: 07/25/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 06/10/2010 Correction Date: 07/25/2010

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: 07/24/2008 Correction Date: 08/22/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/10/2010 Correction Date: 07/25/2010

Nutrition and Dietary

Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Hire a Qualified Dietician. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/10/2010 Correction Date: 07/25/2010

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: 07/24/2008 Correction Date: 08/25/2008
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 07/02/2009 Correction Date: 08/13/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/24/2008 Correction Date: 08/25/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/24/2008 Correction Date: 08/05/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 07/02/2009 Correction Date: 08/26/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 07/02/2009 Correction Date: 08/26/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/10/2010 Correction Date: 07/25/2010
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: 06/10/2010 Correction Date: 07/25/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
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: 07/02/2009 Correction Date: 08/13/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Inspection Date: 06/10/2010 Correction Date: 07/25/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 07/02/2009 Correction Date: 07/02/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/02/2009 Correction Date: 08/13/2009
Have a Private Telephone Available for Use. Inspection Date: 06/10/2010 Correction Date: 07/25/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/10/2010 Correction Date: 07/25/2010

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 Taken	Date	Amount
Civil Money Penalty (CMP)	12/29/2010	$975
Civil Money Penalty (CMP)	07/02/2009	$1,950
Civil Money Penalty (CMP)	01/13/2009	$2,925
Civil Money Penalty (CMP)	12/29/2010	$6,500
Civil Money Penalty (CMP)	12/29/2010	$11,115

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Transitions Nursing and Rehabilitation Center, 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 Complaints

Degree of Harm

Residents Affected