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Lewis Memorial Christian Vlg

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About Lewis Memorial Christian Vlg

General Information

Legal Business NameLewis Memorial Christian Village
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 2002 (15 years)
Capacity171
Residents144
Percent Occupied84%
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 Lewis Memorial Christian Vlg

Lewis Memorial Christian Vlg
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

October 13, 2015 - 14 months ago

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

August 24, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

June 17, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.

June 12, 2015 - 1 year 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 InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

April 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive each resident enough fluids to keep them healthy and prevent dehydration.
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.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

March 26, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$18,200 fine
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
BSomePotential for Minimal HarmComplaintTry to resolve each resident's complaints quickly.

February 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

December 1, 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.

June 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionFire resistant room wall surfaces.
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 InspectionA two-hour-resistant firewall separation.

May 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

February 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

January 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet 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 Lewis Memorial Christian Vlg 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 55min
2hr 35min
ReportedExpected
CNA
1hr 35min
40min
ReportedExpected
LPN
60min
1hr 10min
ReportedExpected
RN
5hr 30min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 50min 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
90.8%
92.9%
92.7%
92.3%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
64.3%
66.7%
68.4%
39.7%
Q1 2015Q2 2015Q3 2015IL
Low Risk Residents Who Lose Control of Their Bowel or Bladder
16.1%
15.3%
15.7%
22.5%
Q1 2015Q2 2015Q3 2015IL
Received an Antipsychotic Medication
8.8%
7.6%
9.8%
15.3%
Q1 2015Q2 2015Q3 2015IL
Need for Help with ADLs has Increased
9.4%
17.5%
18.0%
6.5%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
12.1%
11.6%
12.1%
8.1%
Q1 2015Q2 2015Q3 2015IL
Lose Too Much Weight
7.3%
5.2%
4.3%
6.4%
Q1 2015Q2 2015Q3 2015IL
High Risk Residents With Pressure Ulcers
1.8%
1.0%
0.0%
15.5%
Q1 2015Q2 2015Q3 2015IL
Have Depressive Symptoms
2.6%
8.9%
3.7%
4.9%
Q1 2015Q2 2015Q3 2015IL
With a Urinary Tract Infection
9.2%
8.0%
9.2%
3.2%
Q1 2015Q2 2015Q3 2015IL
Experiencing One or More Falls with Major Injury
1.4%
3.2%
2.8%
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

97.1%
93.1%
89.1%
78.7%
Q1 2015Q2 2015Q3 2015IL
Assessed and Appropriately Given the Pneumococcal Vaccine
94.6%
91.2%
91.2%
77.1%
Q1 2015Q2 2015Q3 2015IL
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
11.2%
6.6%
13.0%
15.3%
Q1 2015Q2 2015Q3 2015IL
Self Report Moderate to Severe Pain
1.7%
0.0%
1.7%
2.4%
Q1 2015Q2 2015Q3 2015IL
Newly Received an Antipsychotic Medication
0.3%
0.5%
0.5%
1.3%
Q1 2015Q2 2015Q3 2015IL
With Pressure Ulcers That Are New or Worsened