PROVIDENCE DOWNERS GROVE - DOWNERS GROVE, IL

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Address

3450 SARATOGA AVENUE
DOWNERS GROVE, IL, 60515

Phone (make sure to verify first before calling): (630) 969-2900

Number of Certified Beds: 145
Total Number of Residents: 94
Percent of Occupied Beds: 65%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
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: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.29
Certified Nurse Aides - Full Time: 41.00
Certified Nurse Aides - Part Time: 9.83
Dietitians - Under Contract: 1.14
Housekeeping Personnel - Full Time: 12.33
Licensed Practical/ Vocational Nurses - Full Time: 8.19
Licensed Practical/ Vocational Nurses - Part Time: 2.97
Medical Directors - Under Contract: 0.14
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 6.17
Persons Not Included In Any Other Categories - Full Time: 12.20
Physical Therapists - Under Contract: 6.10
Registered Nurses - Full Time: 11.53
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.23
Occupational Therapists - Under Contract: 5.00
Food Service Personnel - Under Contract: 16.57
Podiatrists - Under Contract: 0.11
Speech Pathologists - Under Contract: 1.76
Registered Nurses - Under Contract: 3.89
Registered Nurses - Part Time: 5.37
Occupational Therapy Assistants - Under Contract: 0.76
Licensed Practical/ Vocational Nurses - Under Contract: 0.46
Physical Therapy Aide - Under Contract: 1.49

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Offsite 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 Offsite 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 Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Podiatry Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	3.0%
State:	14.9%

Percent of long-stay residents who self-report moderate to severe pain

Here:	4.6%
Illinois:	8.4%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	18.6%
Illinois:	7.3%

Percent of long-stay residents who lose too much weight

Here:	1.8%
Illinois:	8.1%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	41.0%
State:	32.8%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	11.1%
State:	4.5%

Percent of long-stay residents with a urinary tract infection

Here:	34.5%
State:	6.8%

Percent of long-stay residents who were physically restrained

Here:	1.6%
Illinois:	2.4%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	1.6%
State:	3.4%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	96.7%
Illinois:	93.9%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	95.1%
Illinois:	92.9%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	30.9%
Illinois:	19.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	1.8%
Illinois:	1.9%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	84.8%
Illinois:	81.0%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	82.5%
Illinois:	80.2%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	1.1%
Illinois:	2.5%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	6.7%
Illinois:	24.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	1.490
State:	0.751

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.470
State:	0.595

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.960
State:	1.342

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.400
Illinois:	0.080

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.400
State:	0.089

Complaint Deficiency

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (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)

Post nurse staffing information/data on a daily basis: Many (Potential for minimal harm)

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

A two-hour-resistant firewall in common walls: Many (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: Few (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 maintained smoke detectors: Many (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)

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

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

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

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

Provide necessary care and services to maintain the highest well being of each resident : Some (Potential for minimal 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)

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: 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)

Train all employees on what to do in an emergency, and carry out announced staff drills: Many (Potential for minimal harm)

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

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Many (Minimal harm or potential for actual harm)

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

Proper stairway enclosures and vertical shafts: 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)

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

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

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

Proper medical gas storage and administration areas: 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: Few (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Many (Potential for minimal harm)

An approved back-up procedure for a faulty fire alarm system: Many (Potential for minimal 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)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: 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)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

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: Many (Minimal harm or potential for actual harm)

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

Fire-resistant room wall surfaces: Few (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (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)

An automatic smoke detection system in all hallways: Some (Minimal harm or potential for actual harm)

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

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

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

Other nearby hospitals and nursing homes

ADVOCATE HOME HEALTH CARE SERV (0.62 miles)
ADVOCATE HOSPICE (0.62 miles)
FMC - DOWNERS GROVE DIALYSIS CENTER (0.51 miles)
GOOD SAMARITAN HOSP-ADVOCATE (0.51 miles)
ADVOCATE GOOD SAMARITAN HOSPITAL (0.51 miles)
MIDWEST CENTER FOR DAY SURGERY (0.51 miles)
OLSTEN KIMBERLY QUALITYCARE (0.61 miles)

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