HERITAGE HEALTH-MOUNT ZION (MOUNT ZION, IL) Detailed Nursing Home Profile

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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms
- Harm: Potential for minimal harm
- Scope: Some
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms
- Harm: Potential for minimal harm
- Scope: Some
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep each resident free from physical restraints, unless needed for medical treatment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms
- Harm: Potential for minimal harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.680
State:	0.751

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

Here:	0.550
State:	0.595

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.230
State:	1.342

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
Illinois:	0.080

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.010
State:	0.089

Quality Measures

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

This Nursing Home:	7.0%
State:	14.9%

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

Here:	1.6%
Illinois:	8.4%

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

This Nursing Home:	7.3%
State:	7.3%

Percent of long-stay residents who lose too much weight

Here:	9.7%
State:	8.1%

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

This Nursing Home:	50.0%
State:	32.8%

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

Here:	7.6%
State:	4.5%

Percent of long-stay residents who were physically restrained

Here:	1.6%
State:	2.4%

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

Here:	1.6%
Illinois:	3.4%

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

This Nursing Home:	100.0%
State:	93.9%

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

Here:	100.0%
State:	92.9%

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

Here:	3.2%
State:	1.9%

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

This Nursing Home:	96.9%
Illinois:	81.0%

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

This Nursing Home:	97.1%
State:	80.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	3.3%
Illinois:	24.2%

HERITAGE HEALTH-MOUNT ZION - MOUNT ZION, IL

Complaint Deficiency

Staff Information

Quality Measures

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