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Leroy Manor

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About Leroy Manor

General Information

Legal Business NameUnlimited Development, Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 18, 1989 (27 years)
Capacity102
Residents71
Percent Occupied70%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Leroy Manor

Leroy Manor
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

March 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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.

March 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.

January 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.

October 20, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionThe appropriate emergency electrical system.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionProper backup exit lighting.
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 InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionApproved construction type or materials.
CManyPotential for Minimal HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

September 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
CManyPotential for Minimal HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
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 Inspection1) 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.

August 13, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.

May 30, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,755 fine

March 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
LManyImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
LManyImmediate JeopardyComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.
FManyPotential for HarmComplaintMake sure that the facility is administered in an acceptable way that maintains the 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.

June 13, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$45,000 fine

April 19, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$79,950 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 Leroy Manor 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 30min
2hr 35min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
25min
55min
ReportedExpected
RN
3hr 35min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 10min 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
-
-
-
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
17.1%
16.7%
14.8%
22.5%
Q1 2015Q2 2015Q3 2015IL
Received an Antipsychotic Medication
18.6%
6.0%
0.0%
15.3%
Q1 2015Q2 2015Q3 2015IL
Need for Help with ADLs has Increased
3.1%
4.6%
-
6.5%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
13.0%
5.0%
6.6%
8.1%
Q1 2015Q2 2015Q3 2015IL
Lose Too Much Weight
1.9%
4.5%
4.7%
6.4%
Q1 2015Q2 2015Q3 2015IL
High Risk Residents With Pressure Ulcers
1.5%
0.0%
0.0%
15.5%
Q1 2015Q2 2015Q3 2015IL
Have Depressive Symptoms
14.5%
15.0%
6.6%
4.9%
Q1 2015Q2 2015Q3 2015IL
With a Urinary Tract Infection
5.6%
3.3%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015IL
Experiencing One or More Falls with Major Injury
3.4%
4.6%
5.9%
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

95.8%
94.1%
100.0%
78.7%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
95.8%
95.8%
95.8%
77.1%
Q1 2015Q2 2015Q3 2015IL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
5.0%
3.7%
4.0%
15.3%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
-
0.0%
0.0%
2.4%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
4.2%
3.9%
1.3%
Q1 2015Q2 2015Q3 2015IL
With Pressure Ulcers That Are New or Worsened