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Douglas Nursing & Rehab Center

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About Douglas Nursing & Rehab Center

General Information

Legal Business NameDouglas Rehabilitation And Care
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 1, 1984 (33 years)
Capacity79
Residents34
Percent Occupied43%
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 Douglas Nursing & Rehab Center

Douglas Nursing & Rehab 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

May 31, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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.

May 6, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionUse a registered nurse at least 8 hours a day, 7 days a week.
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.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
CManyPotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
CManyPotential for Minimal HarmHealth InspectionDevelop 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.
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 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.

April 5, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure 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 HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

March 23, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmComplaintPost nurse staffing information/data on a daily basis.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

February 10, 2016 - 15 months ago

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

January 28, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintProvide proof that residents' personal money that is deposited with the nursing home is secure.
CManyPotential for Minimal 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 HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

July 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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.

June 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CManyPotential for Minimal HarmHealth InspectionDevelop 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.
CManyPotential for Minimal HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
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.

April 14, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that doctors visit residents regularly, as required.

February 17, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
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 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
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.

May 1, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

Staffing Levels Per Resident per Day

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

3hr 20min
2hr 35min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
25min
1hr 5min
ReportedExpected
RN
4hr 50min
4hr 20min
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%
97.8%
97.8%
97.8%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
76.1%
84.2%
97.1%
100.0%
91.7%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
26.1%
-
-
-
43.3%
Q4 2015Q1 2016Q2 2016Q3 2016IL
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
35.6%
31.6%
33.3%
36.7%
22.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
20.6%
32.4%
18.1%
-
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016IL
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
6.8%
5.6%
6.2%
6.9%
19.7%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who received an antipsychotic medication
25.0%
38.9%
10.0%
15.4%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents whose need for help with daily activities has increased
10.5%
28.3%
18.7%
28.4%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who self-report moderate to severe pain
6.7%
14.3%
12.5%
27.6%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who lose too much weight
0.0%
8.7%
0.0%
10.0%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of high risk long-stay residents with pressure ulcers
7.7%
5.6%
0.0%
0.0%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents who have depressive symptoms
6.7%
5.7%
21.9%
17.2%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents with a urinary tract infection
4.3%
7.9%
5.9%
6.5%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents experiencing one or more falls with major injury
9.5%
15.4%
4.3%
4.5%
3.2%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
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

64.3%
65.5%
88.9%
91.2%
76.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
79.3%
79.3%
79.3%
74.2%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
72.3%
-
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
12.0%
36.4%
24.0%
22.7%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
3.6%
4.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents who newly received an antipsychotic medication
5.0%
0.0%
0.0%
2.9%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016IL
Percentage of short-stay residents with pressure ulcers that are new or worsened