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Lewis Memorial Christian Vlg
3400 WEST WASHINGTON
Springfield, IL 62702
(217) 787-9600
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 155 |
| Number of Residents: | 147 |
| Percent of Occupied Beds: | 95% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Church related |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | Yes |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070911 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20070912 |
| 20080116 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Actual harm | 20080201 |
| 20080116 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Isolated | Actual harm | 20080201 |
| 20080116 | Health | Mistreatment Deficiencies | 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. | Isolated | Actual harm | 20080201 |
| 20080116 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20080201 |
| 20080116 | Health | Resident Rights Deficiencies | 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 | 20080201 |
| 20080404 | Health | Resident Assessment Deficiencies | 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 | 20080423 |
| 20080404 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20080423 |
| 20080404 | Health | Mistreatment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20080423 |
| 20080404 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20080423 |
| 20080619 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20080627 |
| 20081107 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20081124 |
| 20081107 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20081124 |
| 20081107 | Health | Resident Rights Deficiencies | 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 | 20081124 |
| 20090707 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20090727 |
| 20091231 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100305 |
| 20091231 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20100210 |
| 20091231 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20100210 |
| 20091231 | Health | Quality Care Deficiencies | 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 | 20100210 |
| 20100408 | Health | Mistreatment Deficiencies | 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. | Isolated | Minimal harm or potential for actual harm | 20100503 |
| 20100408 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20100503 |
| 20100902 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20100902 |
| 20100924 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20101014 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 93 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 90 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 14 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 11 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 5 | |
| Percent of long-stay residents who are more depressed or anxious: | 10 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 49 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 8 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 9 | |
| Percent of long-stay residents who had a urinary tract infection: | 9 | |
| Percent of long-stay residents who lose too much weight: | 6 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 86 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 85 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 29 | |
| Percent of short-stay residents who have pressure sores: | 8 | |
| # of Residents: | 147 |
| # RN Hours per Resident: | 0.77 |
| # LPN Hours per Resident: | 0.81 |
| # CNA Hours per Resident: | 2.41 |
| Total Staff Hours per Resident: | 1.58 |
