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Momence Meadows Nursing & Rehab

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About Momence Meadows Nursing & Rehab

General Information

Legal Business NameMomence Meadows Nursing & Rehabilitation Center
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 1, 1992 (25 years)
Capacity140
Residents77
Percent Occupied55%
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 Momence Meadows Nursing & Rehab

Momence Meadows Nursing & Rehab
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 16, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionDispose of garbage and refuse properly.
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 InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

October 14, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
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 InspectionThe appropriate emergency electrical system.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
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 InspectionRestrictions on the use of portable space heaters.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block 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 InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.

September 10, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaintEnsure 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 28, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

July 21, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

April 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.

February 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

December 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
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 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 InspectionEnsure residents maintain acceptable nutritional status.
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.

December 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionAn approved back-up procedure for a faulty fire alarm system.
FManyPotential for HarmFire Safety InspectionBack-up procedures in place for a faulty automatic sprinkler system.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
ESomePotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.
ESomePotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
ESomePotential for HarmFire Safety InspectionProper backup exit lighting.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.

November 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure 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.

November 6, 2014 - 2 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.

October 28, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,000 fine
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

September 23, 2014 - 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.

September 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
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 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

July 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmComplaintMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

May 27, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
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.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

April 3, 2014 - 3 years ago

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

March 6, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

January 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Momence Meadows Nursing & Rehab 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.

1hr 55min
2hr 30min
ReportedExpected
CNA
35min
45min
ReportedExpected
LPN
35min
1hr 25min
ReportedExpected
RN
3hr 5min
4hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

86.8%
81.6%
81.6%
93.4%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
96.6%
90.5%
92.3%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
30.9%
29.6%
44.4%
39.7%
Q1 2015Q2 2015Q3 2015IL
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.4%
17.9%
19.7%
22.5%
Q1 2015Q2 2015Q3 2015IL
Received an Antipsychotic Medication
7.5%
7.6%
32.0%
15.3%
Q1 2015Q2 2015Q3 2015IL
Need for Help with ADLs has Increased
5.9%
5.5%
2.4%
6.5%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
11.4%
17.0%
2.4%
8.1%
Q1 2015Q2 2015Q3 2015IL
Lose Too Much Weight
1.8%
3.5%
8.9%
6.4%
Q1 2015Q2 2015Q3 2015IL
High Risk Residents With Pressure Ulcers
3.9%
1.3%
0.0%
15.5%
Q1 2015Q2 2015Q3 2015IL
Have Depressive Symptoms
3.4%
1.1%
0.0%
4.9%
Q1 2015Q2 2015Q3 2015IL
With a Urinary Tract Infection
3.3%
2.2%
3.6%
3.2%
Q1 2015Q2 2015Q3 2015IL
Experiencing One or More Falls with Major Injury
6.0%
7.7%
8.4%
3.7%
Q1 2015Q2 2015Q3 2015IL
With a Catheter Inserted and Left in Their Bladder
3.3%
2.2%
1.2%
0.9%
Q1 2015Q2 2015Q3 2015IL
Were Physically Restrained

Quality Measures for Short Stay Residents

48.6%
34.3%
30.6%
78.7%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
66.7%
64.9%
64.9%
77.1%
Q1 2015Q2 2015Q3 2015IL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
27.6%
23.8%
19.0%
15.3%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
-
-
4.5%
2.4%
Q1 2015Q2 2015Q3 2015IL
* The data for this facility for some quarters is unavailable.
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