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Southpoint Nursing & Rehab Center

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About Southpoint Nursing & Rehab Center

General Information

Legal Business NameSouthpoint Nursing And Rehabilitation Center LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 29, 1996 (20 years)
Capacity228
Residents186
Percent Occupied82%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Southpoint Nursing & Rehab Center

Southpoint Nursing & Rehab Center
was reviewed by Medicare to have a rating of 2 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

November 6, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

June 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
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.
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.

June 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
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 InspectionProtected exits that allow the resident to escape the building.
ESomePotential for HarmFire Safety InspectionProperly constructed linen or trash chutes.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
ESomePotential for HarmFire Safety InspectionExit stairways and towers that are smoke proof.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
CManyPotential for Minimal HarmFire Safety InspectionA written emergency evacuation plan.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

January 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintGive 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 HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

October 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

September 2, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn adequate water supply for the sprinkler system.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionProperly constructed linen or trash chutes.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
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 InspectionProtected exits that allow the resident to escape the building.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

August 21, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
ESomePotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

July 3, 2014 - 2 years ago

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

February 26, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
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 16, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

August 8, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 64 days
---Fine$4,550 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 Southpoint Nursing & Rehab 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 5min
2hr 35min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
30min
1hr 20min
ReportedExpected
RN
3hr 25min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

32.2%
31.4%
31.8%
93.4%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
55.7%
79.8%
82.3%
92.3%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
55.7%
59.0%
55.6%
39.7%
Q1 2015Q2 2015Q3 2015IL
Low Risk Residents Who Lose Control of Their Bowel or Bladder
10.5%
7.0%
4.6%
22.5%
Q1 2015Q2 2015Q3 2015IL
Received an Antipsychotic Medication
23.4%
17.1%
10.2%
15.3%
Q1 2015Q2 2015Q3 2015IL
Need for Help with ADLs has Increased
0.4%
0.5%
0.0%
6.5%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
14.0%
4.4%
7.3%
8.1%
Q1 2015Q2 2015Q3 2015IL
Lose Too Much Weight
16.7%
12.7%
12.3%
6.4%
Q1 2015Q2 2015Q3 2015IL
High Risk Residents With Pressure Ulcers
15.4%
15.0%
0.7%
15.5%
Q1 2015Q2 2015Q3 2015IL
Have Depressive Symptoms
1.7%
0.0%
0.6%
4.9%
Q1 2015Q2 2015Q3 2015IL
With a Urinary Tract Infection
0.5%
0.0%
0.6%
3.2%
Q1 2015Q2 2015Q3 2015IL
Experiencing One or More Falls with Major Injury
7.8%
5.8%
5.6%
3.7%
Q1 2015Q2 2015Q3 2015IL
With a Catheter Inserted and Left in Their Bladder
1.1%
1.1%
1.1%
0.9%
Q1 2015Q2 2015Q3 2015IL
Were Physically Restrained

Quality Measures for Short Stay Residents

18.2%
9.3%
11.3%
78.7%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
19.6%
18.2%
18.2%
77.1%
Q1 2015Q2 2015Q3 2015IL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
6.9%
16.0%
10.3%
15.3%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
3.1%
0.0%
0.0%
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