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BURNSIDES COMMUNITY HEALTH CTR - MARSHALL, IL

 



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Address
410 NORTH SECOND STREET
MARSHALL, IL, 62441
Phone (make sure to verify first before calling): (217) 826-2358

Number of Certified Beds: 105
Total Number of Residents: 74
Percent of Occupied Beds: 70%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 1 Star
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 10.77
Administrative Staff - Part Time: 0.60
Certified Nurse Aides - Full Time: 32.83
Certified Nurse Aides - Part Time: 13.49
Dietitians - Under Contract: 0.17
Food Service Personnel - Full Time: 14.39
Food Service Personnel - Part Time: 2.81
Housekeeping Personnel - Full Time: 12.10
Licensed Practical/ Vocational Nurses - Full Time: 10.63
Licensed Practical/ Vocational Nurses - Part Time: 2.91
Medical Directors - Under Contract: 0.01
Nurses With Administrative Duties - Full Time: 4.67
Persons Not Included In Any Other Categories - Full Time: 6.80
Registered Nurses - Full Time: 2.20
Rn Director Of Nursing - Full Time: 1.36
Activities Professionals - Full Time: 1.14
Nurses With Administrative Duties - Part Time: 0.37
Other Physicians - Under Contract: 0.01
Physician Extenders - Under Contract: 0.03
Sppech Pathologists - Full Time: 0.43
Persons Not Included In Any Other Categories - Part Time: 0.41
Registered Nurses - Part Time: 0.24
Occupational Therapists - Full Time: 1.69
Physical Therapists - Full Time: 0.27

Provided Services

  • Activities Services Are Provided Onsite To Nonresidents
  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Dietary Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Other Social Services Are Provided Onsite To Nonresidents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.650
Illinois:

0.751
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.610
Illinois:

0.595
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.260
State:

1.342
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.010
Illinois:

0.080
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.010
Illinois:

0.089

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

22.5%
State:

14.9%
Percent of long-stay residents who self-report moderate to severe pain
Here:

19.0%
State:

8.4%
Percent of long-stay high-risk residents with pressure ulcers
Here:

6.4%
Illinois:

7.3%
Percent of long-stay residents who lose too much weight
Here:

8.1%
State:

8.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

30.8%
State:

32.8%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

1.4%
State:

4.5%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

10.8%
Illinois:

6.8%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

13.3%
State:

7.7%
Percent of long-stay residents who were physically restrained
Here:

3.9%
State:

2.4%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

10.4%
State:

3.4%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
State:

93.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

100.0%
Illinois:

92.9%
Percent of short-stay residents who self-report moderate to severe pain
Here:

20.0%
State:

19.2%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

5.1%
Illinois:

1.9%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

96.4%
State:

81.0%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

95.8%
State:

80.2%
Percent of long-stay residents who received an antipsychotic medication
Here:

15.6%
Illinois:

24.2%

Complaint Deficiency

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

Proper exit design: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Allow residents to easily view the results of the nursing home's most recent survey: Many (Potential for minimal harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

1) Hire only people with 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: Some (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Potential for minimal harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Many (Potential for minimal harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Many (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Some (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Some (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Some (Minimal harm or potential for actual harm)

Proper fire barriers, ventilation and signs for the transport of oxygen: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Many (Minimal harm or potential for actual harm)

An approved back-up procedure for a faulty fire alarm system: Many (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Many (Potential for minimal harm)

Did not have a written emergency evacuation plan: Many (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Some (Minimal harm or potential for actual harm)

Proper fire barriers, ventilation and signs for the transport of oxygen: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Properly installed hallway dispensers for alcohol-based hand rub: Some (Minimal harm or potential for actual harm)

1) Hire only people with 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: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Be administered in an acceptable way that maintains the well-being of each resident : Some (Minimal harm or potential for actual harm)

Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

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