CENTRAL NURSING & REHAB CENTER IL DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
08/12/2010	exits that are accessible at all times.	Widespread	Minimal harm or potential for actual harm
08/12/2010	proper fire barriers, ventilation and signs for the transport of oxygen.	Widespread	Minimal harm or potential for actual harm
07/27/2010	Allow married couples to share a room.	Isolated	Minimal harm or potential for actual harm
07/27/2010	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
07/27/2010	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
07/27/2010	Provide clean bed and bath linens that are in good condition.	Widespread	Potential for minimal harm
07/27/2010	Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed.	Widespread	Minimal harm or potential for actual harm
07/27/2010	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
07/27/2010	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
07/27/2010	Offer other nutritional food to each resident who will not eat the food served.	Widespread	Minimal harm or potential for actual harm
07/27/2010	Make sure that the attending doctor orders special diets.	Widespread	Minimal harm or potential for actual harm
07/27/2010	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
07/27/2010	Give or get special rehabilitation if in the patient's plan of care.	Widespread	Minimal harm or potential for actual harm
07/27/2010	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Pattern	Minimal harm or potential for actual harm
07/27/2010	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
07/27/2010	Keep all essential equipment working safely.	Pattern	Minimal harm or potential for actual harm
07/27/2010	Put firmly secured handrails on each side of hallways.	Isolated	Minimal harm or potential for actual harm
07/27/2010	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Isolated	Minimal harm or potential for actual harm
07/27/2010	Follow all laws and professional standards.	Widespread	Minimal harm or potential for actual harm
09/23/2009	corridor and hallway doors that block smoke.	Widespread	Minimal harm or potential for actual harm
09/23/2009	an approved automatic sprinkler system connected to the fire alarm system.	Widespread	Minimal harm or potential for actual harm
09/23/2009	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Widespread	Minimal harm or potential for actual harm
09/23/2009	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
09/23/2009	an elevator that firefighters can control in the event of a fire.	Widespread	Minimal harm or potential for actual harm
09/01/2009	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Potential for minimal harm
09/01/2009	Let residents talk to and get information from agencies acting on their behalf.	Widespread	Potential for minimal harm
09/01/2009	Have a private telephone available for use.	Widespread	Potential for minimal harm
09/01/2009	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
09/01/2009	Keep adequate and comfortable lighting in all areas.	Pattern	Minimal harm or potential for actual harm
09/01/2009	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
09/01/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
09/01/2009	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
09/01/2009	Give or get special rehabilitation if in the patient's plan of care.	Isolated	Minimal harm or potential for actual harm
09/12/2008	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
09/12/2008	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
09/12/2008	Properly mark drugs and other similar products.	Pattern	Minimal harm or potential for actual harm
09/12/2008	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	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