EAST MOLINE NURSING & REHAB IL DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
10/20/2010	automatic sprinkler systems that have been maintained in working order.	Widespread	Minimal harm or potential for actual harm
10/20/2010	fire-resistant interior walls.	Pattern	Minimal harm or potential for actual harm
10/20/2010	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	Widespread	Minimal harm or potential for actual harm
10/20/2010	construction that can resist fire for one hour or an approved fire extinguishing system.	Widespread	Minimal harm or potential for actual harm
10/20/2010	exits that are accessible at all times.	Widespread	Minimal harm or potential for actual harm
10/20/2010	record of quarterly fire drills for each shift under varying conditions.	Widespread	Minimal harm or potential for actual harm
10/20/2010	a fire alarm system that can be heard throughout the facility.	Widespread	Minimal harm or potential for actual harm
10/20/2010	an approved automatic sprinkler system connected to the fire alarm system.	Widespread	Minimal harm or potential for actual harm
10/20/2010	properly working sprinkler alarm system.	Widespread	Minimal harm or potential for actual harm
10/20/2010	properly working alarms on sprinkler valves.	Widespread	Minimal harm or potential for actual harm
10/20/2010	have an adequate water supply for the sprinkler system.	Widespread	Minimal harm or potential for actual harm
10/20/2010	properly protected cooking facilities.	Pattern	Minimal harm or potential for actual harm
10/20/2010	weekly inspections and monthly testing of generators.	Widespread	Minimal harm or potential for actual harm
10/20/2010	back-up procedures in place for a faulty automatic sprinkler system.	Widespread	Potential for minimal harm
10/20/2010	an approved back-up procedure for a faulty fire alarm system.	Widespread	Potential for minimal harm
10/19/2010	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.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
10/19/2010	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
10/19/2010	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Minimal harm or potential for actual harm
10/19/2010	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.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Actual harm
10/19/2010	Make sure that each resident's nutritional needs were met.	Pattern	Minimal harm or potential for actual harm
10/19/2010	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.	Isolated	Actual harm
10/19/2010	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Use a registered nurse at least 8 hours a day, 7 days a week.	Widespread	Minimal harm or potential for actual harm
10/19/2010	Hire a qualified dietician.	Widespread	Minimal harm or potential for actual harm
10/19/2010	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Keep all essential equipment working safely.	Widespread	Potential for minimal harm
10/19/2010	Provide rooms that are big enough for each resident.	Widespread	Potential for minimal harm
10/19/2010	Be administered in a way that leads to the highest possible level of well being for each resident.	Widespread	Minimal harm or potential for actual harm
10/19/2010	Get proof that a nurse aide has the training and skills that the State requires.	Widespread	Potential for minimal harm
10/19/2010	Get services outside the nursing home that meet professional standards.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Set up or keep a group of people to review and ensure quality.	Widespread	Minimal harm or potential for actual harm
10/19/2010	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.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Protect each resident from all abuse, physical punishment, and being separated from others.	Isolated	Actual harm
10/19/2010	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	Minimal harm or potential for actual harm
10/19/2010	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Provide needed housekeeping and maintenance.	Widespread	Potential for minimal harm
10/19/2010	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Do an assessment of the resident every year.	Pattern	Minimal harm or potential for actual harm
10/19/2010	Check and update (if needed) each resident's assessment every 3 months.	Isolated	Minimal harm or potential for actual harm
10/19/2010	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
10/29/2009	exits that are accessible at all times.	Widespread	Minimal harm or potential for actual harm
10/29/2009	rooms that can be unlocked from inside without a key.	Widespread	Minimal harm or potential for actual harm
10/29/2009	properly located and lighted "Exit" signs.	Pattern	Minimal harm or potential for actual harm
10/29/2009	record of quarterly fire drills for each shift under varying conditions.	Isolated	Minimal harm or potential for actual harm
10/29/2009	an approved installation, maintenance and testing program for fire alarm systems.	Widespread	Minimal harm or potential for actual harm
10/29/2009	properly maintained smoke detectors.	Widespread	Minimal harm or potential for actual harm
09/16/2009	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.	Widespread	Potential for minimal harm
09/16/2009	Make sure that private space is available in the nursing home for resident groups or residents' families to meet.	Widespread	Potential for minimal harm
09/16/2009	Provide needed housekeeping and maintenance.	Widespread	Potential for minimal harm
09/16/2009	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
09/16/2009	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
09/16/2009	Give or get special rehabilitation if in the patient's plan of care.	Pattern	Minimal harm or potential for actual harm
09/16/2009	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
09/16/2009	Provide rooms that are big enough for each resident.	Widespread	Potential for minimal harm
09/16/2009	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
08/05/2008	construction that can resist fire for one hour or an approved fire extinguishing system.	Widespread	Minimal harm or potential for actual harm
08/05/2008	a fire alarm system that can be heard throughout the facility.	Widespread	Potential for minimal harm
08/05/2008	an approved automatic sprinkler system connected to the fire alarm system.	Widespread	Minimal harm or potential for actual harm
08/05/2008	automatic sprinkler systems that have been maintained in working order.	Widespread	Minimal harm or potential for actual harm
08/05/2008	have an adequate water supply for the sprinkler system.	Widespread	Minimal harm or potential for actual harm
07/24/2008	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
07/24/2008	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
07/24/2008	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.	Isolated	Minimal harm or potential for actual harm
07/24/2008	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
07/24/2008	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
07/24/2008	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm
07/24/2008	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.	Isolated	Minimal harm or potential for actual harm
07/24/2008	Keep all essential equipment working safely.	Pattern	Minimal harm or potential for actual harm
07/24/2008	Provide rooms that are big enough for each resident.	Widespread	Potential for minimal 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