PRAIRIEVIEW LUTHERAN HOME

Nursing Home Inspector

P O BOX 4, 403 NORTH FOURTH STREET
DANFORTH, IL 60930
Iroquois County
Phone: 815-269-2970
Provider Number: 145953
Last Inspection: 10/28/2016

About the Nursing Home

Number of Beds: 51
Number of Residents: 46
Beds Available: 5
Percent Occupancy: 90%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

12

Facility
35

County
21

IL
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2016
16

2015
0

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

10/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Isolated : Minimal 3 11/18/2016
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated : Minimal 3 11/18/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/18/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/18/2016
 

12/11/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated : Minimal 3 12/24/2015
 
Failed To: Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern : Minimal 4 12/11/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 12/24/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/24/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 12/24/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

8/28/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 9/22/2017
 
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated : Minimal 3 9/22/2017
 
Failed To: 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. Pattern : Minimal 4 9/22/2017
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 9/22/2017
 

6/23/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 7/19/2017
 

9/2/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Isolated : Minimal 3 9/23/2015
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 9/23/2015
 

6/11/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 6/23/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg IL State Avg
Number of Residents 46 49.67 91.44
Registered Nurses Not Available 0.62 0.89
Licensed Practical / Vocational Nurses Not Available 0.65 0.59
Certified Nursing Assistants Not Available 1.66 2.14
Total Staff Hours Not Available 2.92 3.62

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% IL State Avg%
of high risk long-stay residents with pressure ulcers 3 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 98 91
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 97 92
of long-stay residents experiencing one or more falls with major injury 9 7 3
of long-stay residents who have depressive symptoms 2 14 18
of long-stay residents who lose too much weight 4 6 7
of long-stay residents who received an antianxiety or hypnotic medication 31 30 21
of long-stay residents who received an antipsychotic medication 5 7 19
of long-stay residents who self-report moderate to severe pain 10 8 4
of long-stay residents who were physically restrained 1 2 0
of long-stay residents whose ability to move independently worsened 18 15 17
of long-stay residents whose need for help with daily activities has increased 13 16 14
of long-stay residents with a catheter inserted and left in their bladder 6 3 2
of long-stay residents with a urinary tract infection 8 6 3
of low risk long-stay residents who lose control of their bowels or bladder 48 36 44
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 89 76
of short-stay residents who had an outpatient emergency department visit 11 22 12
of short-stay residents who made improvements in function 71 66 63
of short-stay residents who newly received an antipsychotic medication 1 2 2
of short-stay residents who self-report moderate to severe pain 16 16 11
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96 86 73
of short-stay residents who were rehospitalized after a nursing home admission 21 24 23
of short-stay residents who were successfully discharged to the community 50 43 50
of short-stay residents with pressure ulcers that are new or worsened 4 1 1