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Edwardsville Nursing & Rehabilitation Center

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About Edwardsville Nursing & Rehabilitation Center

General Information

Legal Business NameSt. Mary's Healthcare Center Investors, LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 20, 1986 (31 years)
Capacity120
Residents91
Percent Occupied76%
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 Edwardsville Nursing & Rehabilitation Center

Edwardsville Nursing & Rehabilitation 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

September 21, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual 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 HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

January 29, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionKeep all essential equipment working safely.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
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.

May 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintDevelop 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.
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.

February 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaint+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 HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+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 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Edwardsville Nursing & Rehabilitation 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
2hr 25min
ReportedExpected
CNA
45min
45min
ReportedExpected
LPN
30min
1hr 10min
ReportedExpected
RN
3hr 15min
4hr 20min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

99.0%
98.9%
98.9%
98.9%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
98.7%
91.7%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
44.4%
54.0%
52.5%
51.2%
43.3%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of low risk long-stay residents who lose control of their bowels or bladder
29.7%
27.8%
28.2%
38.8%
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
7.8%
24.6%
14.5%
23.1%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents whose ability to move independently worsened
18.8%
18.1%
19.4%
8.8%
19.7%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who received an antipsychotic medication
12.3%
26.8%
15.7%
7.5%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents whose need for help with daily activities has increased
4.3%
8.1%
6.7%
4.0%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who self-report moderate to severe pain
6.0%
9.2%
11.2%
7.7%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who lose too much weight
1.9%
5.2%
1.9%
3.8%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of high risk long-stay residents with pressure ulcers
4.0%
1.3%
2.8%
0.0%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who have depressive symptoms
7.2%
3.4%
3.8%
3.8%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents with a urinary tract infection
4.7%
3.4%
2.4%
1.3%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents experiencing one or more falls with major injury
11.2%
8.7%
8.3%
9.4%
3.2%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.4%
1.1%
0.0%
0.0%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

86.0%
82.1%
92.7%
88.5%
76.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
76.9%
76.9%
76.9%
74.2%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
60.3%
Q4 2015Q1 2016Q2 2016Q3 2016IL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
36.4%
37.5%
24.0%
17.6%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents who self-report moderate to severe pain
4.3%
-
-
0.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
2.6%
8.5%
5.6%
0.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents with pressure ulcers that are new or worsened