STERLING PAVILION

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

STERLING PAVILION
105 EAST 23RD STREET
STERLING, IL 61081
(815) 626-4264

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: 88
Certified Beds: 121

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Partnership
Offers Both Resident and Family Counseling Services
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Rock Falls | 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 "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 Sterling Pavilion. 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

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three 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: 2-10	8.6%
Total Percent:	8.6%

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 2-10	2.0%
Total Percent:	2.0%

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: 11-16	0.7%
ADL Index Range: 6-10	11.8%
ADL Index Range: 0-5	42.4%
Total Percent:	55.0%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	7.1%
ADL Index Range: 0-5	19.0%
Total Percent:	26.1%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	1.1%
ADL Index Range: 6-10	2.5%
Total Percent:	3.5%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	0.09%
ADL Index Range: 0-5	2.3%
Total Percent:	2.4%

Extensive Services

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: 2-16 - Isolation for active infectious disease	0.4%
Total Percent:	0.4%

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: 6-10 - No Signs of depression	1.1%
Total Percent:	1.1%

Behavioral Symptoms and Cognitive Performance

Cognitive impairment BIMS score less than or equal to 9
CPS great than or equal to 3
Hallucinations or delusions
Physical or verbal behavioral symptoms toward others
Other behavioral symptoms
Rejection of care or wandering
Activities of Daily Living (ADL) score of 5 or less

ADL Index Range: 2-5 - Less restorative nursing	1.0%
Total Percent:	1.0%

Rating Details For Sterling Pavilion

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	32 Minutes	1 Hour and 4 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	34 Minutes	37 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 14 Minutes	2 Hours and 20 Minutes
Total Licensed Nurse Hours	1 Hour and 6 Minutes	1 Hour and 41 Minutes
Total Nurse Hours	3 Hours and 20 Minutes	4 Hours

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

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight	15%	9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	9%	14%
Percent of Long-Stay Residents Who Were Physically Restrained	8%	5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	24%	9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	19%	44%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	14%	12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	3%	3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	14%	5%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	2%	4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	9%	13%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	22%	16%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	89%	80%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	85%	82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	7%	20%
Percent of Short-Stay Residents Who Have Pressure Sores	16%	13%
Percent of Short-Stay Residents Who Have Delirium	2%	3%

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 06/17/2010.

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

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents. Inspection Date: 04/17/2008 Correction Date: 05/09/2008
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 05/19/2009 Correction Date: 07/14/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/17/2008 Correction Date: 05/13/2008
Keep Sound Levels Comfortable. Inspection Date: 05/19/2009 Correction Date: 06/18/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.

Inspection Date: 04/17/2008
Correction Date: 05/13/2008

Nutrition and Dietary

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: 04/17/2008 Correction Date: 05/17/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
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: 05/19/2009 Correction Date: 06/18/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/17/2010 Correction Date: 07/07/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 05/19/2009 Correction Date: 06/18/2009

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/17/2008 Correction Date: 05/08/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/19/2009 Correction Date: 06/18/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 04/17/2008 Correction Date: 05/08/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/17/2008 Correction Date: 05/12/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
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: 05/19/2009 Correction Date: 06/18/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 05/19/2009 Correction Date: 06/18/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 04/17/2008 Correction Date: 05/09/2008
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 04/17/2008 Correction Date: 05/13/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/19/2009 Correction Date: 06/18/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/19/2009 Correction Date: 07/14/2009
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: 05/19/2009 Correction Date: 06/18/2009

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)	05/19/2009	$195
Civil Money Penalty (CMP)	12/23/2008	$2,275
Civil Money Penalty (CMP)	05/19/2009	$9,555
Civil Money Penalty (CMP)	05/19/2009	$19,500
Denial of Payment for New Admission (DPNA)	12/23/2008	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Sterling Pavilion, 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