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COURTYARD HEATLHCARE CENTER - BERWYN, IL

 



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COURTYARD HEATLHCARE CENTER
3601 SOUTH HARLEM AVENUE
BERWYN, IL, 60402

Phone (make sure to verify first before calling): (708) 749-4160

Number of Certified Beds: 145
Total Number of Residents: 110
Percent of Occupied Beds: 76%
Sprinkler Status: Partially sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 35.47
Certified Nurse Aides - Part Time: 4.49
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 9.89
Housekeeping Personnel - Full Time: 11.99
Licensed Practical/ Vocational Nurses - Full Time: 11.37
Licensed Practical/ Vocational Nurses - Part Time: 6.11
Medical Directors - Under Contract: 0.09
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 3.20
Persons Not Included In Any Other Categories - Full Time: 20.69
Physical Therapists - Under Contract: 0.74
Registered Nurses - Full Time: 2.69
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.03
Nurses With Administrative Duties - Part Time: 0.23
Occupational Therapists - Under Contract: 1.03
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.11
Speech Pathologists - Under Contract: 0.14
Persons Not Included In Any Other Categories - Part Time: 3.74
Registered Nurses - Part Time: 1.14
Occupational Therapy Assistants - Under Contract: 1.14
Housekeeping Personnel - Part Time: 1.14
Licensed Practical/ Vocational Nurses - Under Contract: 2.29

Provided Services

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

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.740
State:

0.709
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.910
Illinois:

0.592
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.650
Illinois:

1.301
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

2.140
State:

2.057

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season
Here:

26.0%
State:

90.1%
Percent of long-stay residents who were assessed and given pneumococcal vaccination
Here:

17.0%
Illinois:

85.7%
Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

13.0%
Illinois:

13.9%
Percent of high-risk long-stay residents who have pressure sores
This Nursing Home:

25.0%
State:

12.3%
Percent of long-stay residents who were physically restrained
This Nursing Home:

1.0%
State:

2.8%
Percent of long-stay residents who are more depressed or anxious
Here:

11.0%
State:

16.5%
Percent of low-risk long-stay residents who lose control of their bowels or bladder
This Nursing Home:

38.0%
Illinois:

44.5%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder
This Nursing Home:

5.0%
Illinois:

4.9%
Percent of long-stay residents who spend most of their time in bed or in a chair
Here:

2.0%
State:

2.0%
Percent of long-stay residents whose ability to move about in and around their room got worse
Here:

11.0%
State:

11.0%
Percent of long-stay residents who had a urinary tract infection
Here:

10.0%
State:

9.2%
Percent of long-stay residents who lose too much weight
This Nursing Home:

7.0%
State:

8.6%
Percent of short-stay residents given influenza vaccination during the flu season
Here:

20.0%
State:

83.4%
Percent of short-stay residents who were assessed and given pneumococcal vaccination
This Nursing Home:

15.0%
Illinois:

77.9%
Percent of short-stay residents who have delirium
This Nursing Home:

2.0%
State:

1.8%
Percent of short-stay residents who had moderate to severe pain
Here:

2.0%
State:

19.1%
Percent of short-stay residents who have pressure sores
This Nursing Home:

17.0%
State:

12.2%

Complaint Deficiency

Let each resident choose a personal doctor: Pattern (Minimal harm or potential for actual harm)

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)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Isolated (Actual harm)

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 (Actual harm)

Make sure that each resident's nutritional needs were met: Isolated (Actual harm)

Post nurse staffing information: Widespread (Potential for minimal harm)

1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator: Widespread (Immediate jeopardy to resident health or safety)

Keep accurate and appropriate medical records: Widespread (Potential for minimal harm)

Properly mark drugs and other similar products: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Immediate jeopardy to resident health or safety)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Give the right treatment and services to residents who have mental or social problems adjusting: Isolated (Minimal harm or potential for actual harm)

Hire a qualified dietician: Pattern (Minimal harm or potential for actual harm)

Store, cook, and give out food in a safe and clean way: Pattern (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Isolated (Minimal harm or potential for actual harm)

Post nurse staffing information: Widespread (Potential for minimal harm)

Give professional services that meet a professional standard of quality: Pattern (Minimal harm or potential for actual harm)

Let the resident or the resident's representative look at all records: Pattern (Minimal harm or potential for actual harm)

Be administered in a way that leads to the highest possible level of well being for each resident: Isolated (Minimal harm or potential for actual harm)

Have a program to keep infection from spreading: Isolated (Minimal harm or potential for actual harm)

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