Villa At Evergreen Park,The
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About Villa At Evergreen Park,The
General Information
| Legal Business Name | Evergreen Living & Rehab Center, LLC |
| Ownership Type | For Profit - Partnership |
| Changed Ownership In The Last 12 Months | No |
| First Accepted Medicare | July 15, 1992 (25 years) |
| Capacity | 242 |
| Residents | 141 |
| Percent Occupied | 58% |
| Program Participation | Medicare And Medicaid |
| Resident And Family Councils | Resident |
| In Hospital | No |
| Continuing Care Retirement Community | No |
| Special Focus Facility | No |
| Auto Sprinkler System In Required Areas | Yes |
Ratings for Villa At Evergreen Park,The
Villa At Evergreen Park,The
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
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 |
December 22, 2016 - 6 months ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| D | Few | Potential for Harm | Complaint | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
August 11, 2016 - 11 months ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| G | Few | Actual Harm | Complaint | Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. |
| D | Few | Potential for Harm | Complaint | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| D | Few | Potential for Harm | Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. |
May 19, 2016 - 14 months ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| E | Some | Potential for Harm | Complaint | Reasonably accommodate the needs and preferences of each resident. |
April 14, 2016 - 15 months ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| F | Many | Potential for Harm | Health Inspection | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| F | Many | Potential for Harm | Health Inspection | Store, cook, and serve food in a safe and clean way. |
| E | Some | Potential for Harm | Health Inspection | Reasonably accommodate the needs and preferences of each resident. |
| E | Some | Potential for Harm | Health Inspection | Have a program that investigates, controls and keeps infection from spreading. |
| E | Some | Potential for Harm | Health Inspection | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. |
| E | Some | Potential for Harm | Health Inspection | Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. |
| D | Few | Potential for Harm | Health Inspection | Keep accurate, complete and organized clinical records on each resident that meet professional standards. |
| D | Few | Potential for Harm | Health Inspection | Ensure 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. |
| D | Few | Potential for Harm | Health Inspection | Provide necessary care and services to maintain or improve the highest well being of each resident . |
March 18, 2015 - 2 years ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| E | Some | Potential for Harm | Health Inspection | Keep accurate, complete and organized clinical records on each resident that meet professional standards. |
| E | Some | Potential for Harm | Health Inspection | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. |
| E | Some | Potential for Harm | Health Inspection | Provide necessary care and services to maintain or improve the highest well being of each resident . |
| C | Many | Potential for Minimal Harm | Health Inspection | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
February 25, 2015 - 2 years ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| G | Few | Actual Harm | Complaint | Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. |
January 23, 2015 - 2 years ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| D | Few | Potential for Harm | Complaint | Have a program that investigates, controls and keeps infection from spreading. |
January 14, 2015 - 2 years ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| D | Few | Potential for Harm | Complaint | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
December 10, 2014 - 3 years ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| F | Many | Potential for Harm | Complaint | Have a program that investigates, controls and keeps infection from spreading. |
| D | Few | Potential for Harm | Complaint | Provide necessary care and services to maintain or improve the highest well being of each resident . |
| D | Few | Potential for Harm | Complaint | Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| D | Few | Potential for Harm | Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
November 10, 2014 - 3 years ago
| Residents Affected | Severity | Source/Type | Description | |
|---|---|---|---|---|
| D | Few | Potential for Harm | Complaint | Ensure that residents are safe from serious medication errors. |
| D | Few | Potential for Harm | Complaint | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Staffing Levels Per Resident per Day
Medicare determines the expected staffing time per resident per day depending on level of care the residents of Villa At Evergreen Park,The 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 25min |
| Reported | Expected |
| CNA | |
| 60min | 40min |
| Reported | Expected |
| LPN | |
| 55min | 1hr 20min |
| Reported | Expected |
| RN | |
| 3hr 55min | 4hr 25min |
| Reported | Expected |
| Total Nursing | |
This facility also provides approximately 1hr 45min per resident per WEEK of physical therapist time.
Quality Measures for Long Stay Residents
| 89.3% | 32.3% | 32.3% | 32.3% | 92.8% | 94.6% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
| 77.6% | 81.0% | 70.9% | 85.7% | 91.7% | 93.5% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
| 69.4% | 78.1% | 77.1% | 75.9% | 43.3% | 47.0% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of low risk long-stay residents who lose control of their bowels or bladder
| 7.0% | 6.5% | 9.3% | 6.4% | 22.4% | 23.4% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents who received an antianxiety or hypnotic medication
| 13.8% | 25.4% | 26.6% | 15.9% | 17.1% | 18.1% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents whose ability to move independently worsened
| 1.8% | 1.8% | 0.0% | 2.1% | 19.7% | 16.6% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents who received an antipsychotic medication
| 21.4% | 27.3% | 16.3% | 10.9% | 15.0% | 15.2% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents whose need for help with daily activities has increased
| 3.1% | 2.0% | 4.0% | 0.0% | 5.8% | 7.3% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents who self-report moderate to severe pain
| 1.7% | 9.1% | 11.5% | 2.1% | 7.6% | 7.0% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents who lose too much weight
| 8.2% | 4.3% | 4.7% | 0.0% | 6.1% | 5.7% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of high risk long-stay residents with pressure ulcers
| 0.0% | 0.0% | 0.0% | 0.0% | 18.8% | 5.3% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents who have depressive symptoms
| 1.7% | 5.5% | 1.9% | 0.0% | 4.4% | 4.4% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents with a urinary tract infection
| 1.7% | 0.0% | 0.0% | 0.0% | 3.4% | 3.3% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents experiencing one or more falls with major injury
| 1.8% | 3.7% | 7.3% | 2.9% | 3.2% | 2.6% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents with a catheter inserted and left in their bladder
| 0.0% | 0.0% | 0.0% | 0.0% | 0.6% | 0.7% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of long-stay residents who were physically restrained
Quality Measures for Short Stay Residents
| 89.5% | 94.5% | 93.0% | 80.6% | 76.4% | 81.7% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
| 83.5% | 90.2% | 90.2% | 90.2% | 74.2% | 79.9% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
| 47.9% | 47.5% | 51.2% | 55.4% | 60.3% | 63.7% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of short-stay residents who made improvements in function
| 17.4% | 14.6% | 9.1% | 6.4% | 14.1% | 15.9% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of short-stay residents who self-report moderate to severe pain
| 0.8% | 0.8% | 0.6% | 0.8% | 2.4% | 2.1% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of short-stay residents who newly received an antipsychotic medication
| 0.4% | 0.5% | 0.3% | 0.2% | 1.3% | 1.1% |
| Q4 2015 | Q1 2016 | Q2 2016 | Q3 2016 | IL | U.S. |
Percentage of short-stay residents with pressure ulcers that are new or worsened
