PINECREST MANOR - MOUNT MORRIS, IL

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Addresss:

414 SOUTH WESLEY AVENUE
MOUNT MORRIS, IL, 61054

Phone (make sure to verify first before calling): (815) 734-4103

Number of Certified Beds: 125
Total Number of Residents: 107
Percent of Occupied Beds: 86%
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?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: Yes
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

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

Other nearby hospitals and nursing homes

DAVITA- DIXON KIDNEY CENTER (DIXON, 13.24 miles)
JACK MABLEY DEVELOPEMENTAL CTR (DIXON, 12.93 miles)
KILKER-PINE ACRES GROUP HOME (DIXON, 13.12 miles)
NEIGHBORS REHABILITATION CENTER, LLC (BYRON, 10.12 miles)
OGLE COUNTY HOSPICE ASSOCIATION (OREGON, 5.48 miles)
OREGON LIVING AND REHABILITATION CENTER (OREGON, 5.43 miles)
POLO REHAB AND HCC (POLO, 8.16 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 9.07

Administrative Staff - Part Time: 2.17

Certified Nurse Aides - Full Time: 48.03

Certified Nurse Aides - Part Time: 20.44

Dietitians - Under Contract: 0.23

Food Service Personnel - Full Time: 13.34

Food Service Personnel - Part Time: 8.54

Housekeeping Personnel - Full Time: 15.91

Licensed Practical/ Vocational Nurses - Full Time: 7.77

Licensed Practical/ Vocational Nurses - Part Time: 6.29

Medical Directors - Under Contract: 0.23

Nurses With Administrative Duties - Full Time: 4.57

Persons Not Included In Any Other Categories - Full Time: 21.34

Physical Therapists - Under Contract: 0.43

Registered Nurses - Full Time: 3.54

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 1.94

Activities Professionals - Full Time: 0.80

Dentists - Under Contract: 0.11

Dietitians - Part Time: 0.19

Nurses With Administrative Duties - Part Time: 1.96

Occupational Therapists - Under Contract: 0.07

Pharmacists - Under Contract: 0.23

Food Service Personnel - Under Contract: 1.14

Podiatrists - Under Contract: 0.11

Speech Pathologists - Under Contract: 0.04

Other Physicians - Under Contract: 0.01

Physician Extenders - Under Contract: 0.11

Persons Not Included In Any Other Categories - Part Time: 2.29

Registered Nurses - Part Time: 4.40

Occupational Therapy Assistants - Under Contract: 2.29

Housekeeping Personnel - Part Time: 2.69

Physical Therapy Aide - Under Contract: 0.57

Occupational Therapy Aides - Under Contract: 0.57

Number Of Beds

Total: 141

Total Certified: 141

For Residents With Alzeheimers: 28

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite 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

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Offsite To Residents

Physician Extender 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

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Non Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Therapeutic Recreation Specialist Services Are Provided Onsite To Nonresidents

Quality Measures

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

This Nursing Home:	17.8%
State:	14.9%

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

This Nursing Home:	14.3%
State:	8.4%

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

Here:	4.1%
Illinois:	7.3%

Percent of long-stay residents who lose too much weight

Here:	2.1%
Illinois:	8.1%

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

This Nursing Home:	57.1%
Illinois:	32.8%

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

This Nursing Home:	3.6%
Illinois:	4.5%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	6.3%
State:	6.8%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	7.7%
State:	7.7%

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

Here:	2.1%
State:	3.4%

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

This Nursing Home:	99.0%
Illinois:	93.9%

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

Here:	96.9%
State:	92.9%

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

This Nursing Home:	35.8%
State:	19.2%

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

Here:	72.4%
State:	81.0%

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

Here:	71.0%
Illinois:	80.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	14.7%
Illinois:	24.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.640
State:	0.751

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

This Nursing Home:	0.750
Illinois:	0.595

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.390
State:	1.342

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.050
State:	0.080

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.050
State:	0.089

Complaint Deficiency

A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
An automatic smoke detection system in all hallways
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly maintained smoke detectors
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Many
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: Some
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide proof that all residents' personal money which is deposited with the nursing home, is secure
- Harm: Potential for minimal harm
- Scope: Some
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper stairway enclosures and vertical shafts
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly located and lighted Exit signs
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Potential for minimal harm
- Scope: Many
An approved back-up procedure for a faulty fire alarm system
- Harm: Potential for minimal harm
- Scope: Many
Keep each resident's personal and medical records private and confidential
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- 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: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Properly maintained smoke detectors
- 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
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some

PINECREST MANOR - MOUNT MORRIS, IL

Quality Measures

Staff Information

Complaint Deficiency

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