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Presence Our Lady Of Victory

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About Presence Our Lady Of Victory

General Information

Legal Business NamePresence Life Connections
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 29, 1986 (31 years)
Capacity107
Residents94
Percent Occupied88%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Presence Our Lady Of Victory

Presence Our Lady Of Victory
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Illinois Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 11, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
CManyPotential for Minimal HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.

September 9, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionThe appropriate emergency electrical system.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionProperly working alarms on sprinkler valves.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.

July 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
CManyPotential for Minimal HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

July 16, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

August 16, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,800 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Presence Our Lady Of Victory require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 5min
2hr 35min
ReportedExpected
CNA
45min
35min
ReportedExpected
LPN
50min
60min
ReportedExpected
RN
3hr 40min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
93.4%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
92.3%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
18.8%
18.2%
18.9%
39.7%
Q1 2015Q2 2015Q3 2015IL
Low Risk Residents Who Lose Control of Their Bowel or Bladder
8.6%
8.5%
8.5%
22.5%
Q1 2015Q2 2015Q3 2015IL
Received an Antipsychotic Medication
33.8%
16.7%
23.8%
15.3%
Q1 2015Q2 2015Q3 2015IL
Need for Help with ADLs has Increased
2.6%
5.0%
1.9%
6.5%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
19.4%
4.1%
12.3%
8.1%
Q1 2015Q2 2015Q3 2015IL
Lose Too Much Weight
3.3%
4.6%
6.1%
6.4%
Q1 2015Q2 2015Q3 2015IL
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
15.5%
Q1 2015Q2 2015Q3 2015IL
Have Depressive Symptoms
8.3%
1.4%
2.7%
4.9%
Q1 2015Q2 2015Q3 2015IL
With a Urinary Tract Infection
6.9%
5.4%
1.4%
3.2%
Q1 2015Q2 2015Q3 2015IL
Experiencing One or More Falls with Major Injury
4.2%
5.1%
4.4%
3.7%
Q1 2015Q2 2015Q3 2015IL
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.9%
Q1 2015Q2 2015Q3 2015IL
Were Physically Restrained

Quality Measures for Short Stay Residents

91.3%
91.7%
89.5%
78.7%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
91.1%
90.2%
90.2%
77.1%
Q1 2015Q2 2015Q3 2015IL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
11.5%
12.0%
9.1%
15.3%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
3.2%
3.1%
1.6%
2.4%
Q1 2015Q2 2015Q3 2015IL
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.3%
Q1 2015Q2 2015Q3 2015IL
With Pressure Ulcers That Are New or Worsened