ARTHUR HOME, THE IL DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
12/09/2010	a two-hour-resistant firewall in common walls.	Pattern	Minimal harm or potential for actual harm
12/09/2010	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
12/09/2010	exits that are accessible at all times.	Pattern	Minimal harm or potential for actual harm
12/09/2010	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
12/09/2010	properly protected cooking facilities.	Pattern	Minimal harm or potential for actual harm
12/09/2010	no-smoking signs where oxygen is used.	Pattern	Minimal harm or potential for actual harm
12/09/2010	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
11/09/2010	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
11/09/2010	Protect each resident from all abuse, physical punishment, and being separated from others.	Isolated	Immediate jeopardy to resident health or safety
11/09/2010	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.	Pattern	Immediate jeopardy to resident health or safety
11/09/2010	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
11/09/2010	Be administered in a way that leads to the highest possible level of well being for each resident.	Pattern	Immediate jeopardy to resident health or safety
11/17/2009	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
11/17/2009	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
10/30/2009	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.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
10/30/2009	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
10/30/2009	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.	Isolated	Minimal harm or potential for actual harm
10/30/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Actual harm
01/07/2009	construction that can resist fire for one hour or an approved fire extinguishing system.	Pattern	Minimal harm or potential for actual harm
01/07/2009	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
01/07/2009	a two-hour-resistant firewall in common walls.	Pattern	Minimal harm or potential for actual harm
01/07/2009	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
01/07/2009	fire-resistant interior walls.	Widespread	Minimal harm or potential for actual harm
01/07/2009	fire-resistant room wall surfaces.	Pattern	Minimal harm or potential for actual harm
01/07/2009	an automatic smoke detection system in all hallways.	Widespread	Minimal harm or potential for actual harm
01/07/2009	proper facilities for the use and storage of combustible liquids.	Isolated	Minimal harm or potential for actual harm
01/07/2009	proper fire barriers, ventilation and signs for the transport of oxygen.	Pattern	Minimal harm or potential for actual harm
01/07/2009	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
01/07/2009	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
01/07/2009	back-up procedures in place for a faulty automatic sprinkler system.	Widespread	Minimal harm or potential for actual harm
01/07/2009	an approved back-up procedure for a faulty fire alarm system.	Widespread	Minimal harm or potential for actual harm
11/13/2008	Use a registered nurse at least 8 hours a day, 7 days a week.	Widespread	Minimal harm or potential for actual harm
11/13/2008	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm

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Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death