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Brentwood Sub-Acute Healthcare Center

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About Brentwood Sub-Acute Healthcare Center

General Information

Legal Business NameBrentwood Operating Company LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 25, 1969 ()
Capacity163
Residents85
Percent Occupied52%
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 Brentwood Sub-Acute Healthcare Center

Brentwood Sub-Acute Healthcare Center
was reviewed by Medicare to have a rating of 1 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

October 27, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

September 22, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

August 25, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

July 31, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
HSomeActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionHave enough outside ventilation via a window or mechanical ventilation, or both.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionGive 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.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

July 30, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionApproved construction type or materials.
FManyPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
FManyPotential for HarmFire Safety InspectionProperly constructed piped-in oxygen systems.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionSigns that state that exit doors are to be kept closed.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionPortable fire extinguishers.
ESomePotential for HarmFire Safety InspectionProperly maintained smoke detectors.
ESomePotential for HarmFire Safety InspectionProtected exits that allow the resident to escape the building.
ESomePotential for HarmFire Safety InspectionExit stairways and towers that are smoke proof.

January 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

December 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

October 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

September 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionProperly constructed piped-in oxygen systems.
ESomePotential for HarmFire Safety InspectionAn elevator that firefighters can control in the event of a fire.
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionExit stairways and towers that are smoke proof.
ESomePotential for HarmFire Safety InspectionProtected exits that allow the resident to escape the building.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.

August 29, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure 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.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

July 8, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) 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.

April 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmComplaintAllow residents to have visitors.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brentwood Sub-Acute Healthcare Center 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 25min
2hr 45min
ReportedExpected
CNA
1hr 25min
55min
ReportedExpected
LPN
55min
1hr 45min
ReportedExpected
RN
4hr 40min
5hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
75.0%
75.0%
93.4%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
92.3%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
39.7%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
22.5%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
15.3%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
6.5%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
8.1%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
6.4%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
15.5%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
-
4.9%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
-
3.2%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
-
3.7%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
-
0.9%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

47.9%
31.9%
18.1%
78.7%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
49.8%
48.7%
48.7%
77.1%
Q1 2015Q2 2015Q3 2015IL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
17.8%
13.5%
12.2%
15.3%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
2.9%
2.6%
2.3%
2.4%
Q1 2015Q2 2015Q3 2015IL
Newly Received an Antipsychotic Medication
0.0%
0.7%
0.8%
1.3%
Q1 2015Q2 2015Q3 2015IL
With Pressure Ulcers That Are New or Worsened