Learning About Nursing Homes, Part 1: Nursing Home Surveys

For many families, there's a real feeling of helplessness when it comes to selecting a nursing home for a loved one or perhaps learning more about an existing one.  Certainly, with many families living vast distances from their loved ones, I can sympathize as to the feelings of despair.

However, there is some good news. With nothing more than a computer and access to the internet, you can actually learn a great deal about the facility where your loved one lives.  Sure, nothing will take the place of a visit to the facility itself, but with a little digging in the rights spots you'd be surprised to see how much 15 minutes on the internet can reveal.

The Nursing Homes Abuse Blog will highlight some of these on-line investigative tools over several entries in the upcoming weeks. I always feel that when you have more information, you can make better care choices for your family and friends.

"Surveys" are really inspections conducted by each state's department of health.  In most cases, the surveys are done annually and are completed over a several day period where a group of health department officials look at all aspects of patient care.  In situations where a complaint has been rendered against a facility, additional surveys may be completed on an as needed basis.

While surveys evaluate the physical characteristics of the facility, they may also review the care provided to randomly selected patients at the facility.  Surveyors may look through the patients medical chart and evaluate if they are receiving the proper medical care.

When complete, the surveys are written up in standardized forms provided by federal authorities.  If the surveyors find no problems with the care provided at the facility, the written survey will likely say no more than the date the survey was completed.  However, if the survey identifies particular problems or violations, the specific findings will be noted with detail. 

Once presented with the survey results, the nursing home must create a "Plan of Correction" that addresses and specifically explains how the violations will be corrected.  The written surveys and plan of correction become part of each facilities permanent record. 

Many states, such as Illinois, have incredibly extensive Department of Health websites that archive many of the surveys for each facility on-line.  In situations where the survey is inaccessible on-line, it may be due to the fact that the findings are being disputed by the facility or a corrective plan has yet to be submitted by the nursing home.

Armed with a survey or group of surveys for a particular facility, you can then begin a comprehensive review of the facility.  In upcoming blog entries we will discuss how to make sense of the nursing home surveys and apply the surveys to popular nursing homes.

New NPR Nursing Home Database Offers Insights Into Independence Levels Of Patients By State & Facility

National Public Radio (NPR) recently released an two interactive functions that allows families to see both the independence levels for specific nursing homes and also to see the independence levels for individual states

These functions can be particularly useful for families looking for a facility for a loved one because this feature provides information regarding functional level of patients at specific facilities such as: 

  • Dressing
  • Bathing
  • Eating
  • Walking
  • Using the toilet

The data on each nursing home was obtained by NPR via the Freedom of Information Act. 

A second interactive feature allows families to see the independence levels of other nursing home patients throughout the specific state.

As a nursing home lawyer who frequently gets asked, "Is this facility any good?" I will be happy to pass this website along to my clients who are looking for assistance selecting a nursing home. 

Need Help Selecting A Nurisng Home? Talk To The Staff

I spend a lot of time talking with families regarding the selection of an initial nursing home for a family member or perhaps transferring the person from one nursing home to another.  Soon into our discussion, I see mild mannered people become downright angry when discussing the problems they encounter when selecting a facility.

Most of the time, the selection of a skilled nursing facility is done during a stressful period such as the onset of a sudden illness or when change in medical condition necessitates such a move. Frustration levels seem to get compounded when families visit facilities only to have all the facilities they visit appear universally average. 

Sure there are things to look for when selecting a nursing home: location, amenities and the facilities themselves; but families need to focus on one factor in particular when choosing a nursing home staffing -- staffing should remain the primary focus throughout the selection process.  Without a properly trained and devoted team, the other aspects of nursing homes are insignificant.

I was again reminded of the importance of staffing--- and how important it is for families to acknowledge its significance in a recent New York Times article appearing in the New Old Age blog. The article entitled One Way To Judge a Nursing Home written by Dale Russakoff has some really excellent points regarding the importance of a steady and enduring staff.  However, all points aside, I think perhaps the most insightful part of the article relates to Russakoff's suggestion for families to speak to the nurses aides during the initial nursing home selection process.

Though hardly a radical concept, speaking to the people who are on the front lines of providing patient care --- really is a great idea.  Asking CNA's about their position, how long they've worked at the facility and their job satisfaction is really a brilliant way of gaining valuable insight on the facility in an accurate way.

As Russakoff points out, facilities where staff aren't happy tend to have high staff turnover rates.  High turnover rates of staff is continually related to higher rates in the development of bed sores (decubitus ulcers, pressure ulcers, pressure sores), use of catheters, increased use of feeding tubes and other troublesome medical problems.

Even if you only spend a handful of minutes speaking to the CNA's, I firmly believe Russakoff is on target.  Credentialing and tenuring aside, are the people pleasant?  Do they smile?  Do they seem satisfied with their job?

Unfortunately, when staff are unhappy they tend to seek work at other facilities or leave the field all together.  Next time you go to a nursing home, listen to all the scripted information the marketing director, but take the next step and meander to the nursing desk to talk with the people who will be really caring for your loved one.

Related Nursing Homes Abuse Blog Entries:

Study Reinforces The Need To Seek Out 'Non-Profit' Facilities When Selecting A Nursing Home For A Loved One

Attorney General Lays Out Guidelines For Selection Of Nursing Homes & Assisted Living Facilities

Take Your Loved One With You

Less Patients, Happier Staff, Healthier Patients. Research Shows Less May Actually Be More When It Comes To Patient Loads For Nurses

Why Would Anyone Want To Work In A Nursing Home?

One year after the implementation of the Medicare nursing home rating system, where do we stand?

Hard to believe, but its been almost a year since Medicare unveiled Nursing Home Compare.  Praised or criticized, most agencies that represent nursing home operators or consumers have at least come to accept it as a permanent fixture for families looking for information on facilities.

If you haven't heard, Nursing Home Compare uses a five-star rating system (5 stars = much above average, 1 star = much below average) to evaluate approximately 15,700 nursing homes across the country that receive government funding.  Centers for Medicare Services (CMS) collects data and rates each facility based on standardized categories such as: staffing levels, incidence of bed sores, fire safety and health inspections conducted by state surveyors.

The inherent variances that accompany how data is collected and differences among individual states method of reporting, does complicate the standardized rating process.  Consequently, it can be difficult to generalize and say that all facilities within a particular category are good or bad, but the ratings do help to provide some individuals and families quickly collect information from a variety of facilities in important categories. 

An article from Scripps News, further demonstrates the value of the rating system.  After reviewing the data, a Scripps analysis made the following particularly helpful conclusions:

  • Facilities operated by for-profit organizations tended to have lower ratings than not-for-profit institutions;
  • Institutions with higher nurse-to-patient ratios generally had higher ratings;
  • Long-term care facilities with more than 100 beds tended to have lower scores for all categories;
  • Nursing homes located in Southern states generally had lower ratings, while Northeastern facilities tended to achieve higher scores; and
  • Slightly more than 20% of U.S. nursing homes regularly received the lowest ratings, while 12% to 13% received the highest score.
     

According to Thomas Hamilton, the director of the survey and certification group at CMS and leader of the design team for the Nursing Home Compare website, views the site as a starting point for families. 

"Our hope is that families will use the system to look at nursing homes near where they live and compare quality ratings within their state.  But they should consider it only a starting point." "Once they pare down the list, they should print out the information and take it with them when they visit the families and other people who might be familiar with the home."

I agree that Nursing Home Compare can be a valuable part in selecting a facility that meets the needs of the individual.  However, no website-- however detailed-- can take the place of a visit to the facility so the family can see for themselves what the facility is like.  I strongly urge, family members to visit facilities at least two times-- one announced visit and one unannounced visit before making a determination.

Secondly, we can only hope that the public ratings will act as an incentive for poorly performing facilities to improve their care.  Just as the public will likely shy way from one-starred facilities, what type of nursing home operator really wants to be publicly known as a poorly performing facility?

Related Nursing Homes Abuse Blog Entries:

What Is It Like To Live In A 1-Starred Nursing Home?

Nursing Homes Notified Of Their 'Five Star' Ratings Today

Attorney General Lays Out Guidelines For Selection Of Nursing Homes & Assisted Living Facilities

When It Comes To Governmental Oversight, Assisted Living Residents Are On Their Own

Study Reinforces The Need To Seek Out 'Non-Profit' Facilities When Selecting A Nursing Home For A Loved One

A study by Canadian researchers reported that non-profit nursing homes provide better care than for-profit nursing homes.  The study reviewed the results from 82 studies from Canada and the United States conducted from 1965 through 2003. 

Forty of these studies revealed that the non-profit facilities provided better care, while three studies revealed that for-profit homes provided better care.  The rest of the studies had mixed results.  The study estimated that U.S. nursing home residents would receive 50,000 more hours of nursing care a day and Canadian residents would receive 42,000 more hours of nursing care a day if all nursing homes were non-profit.  

The non-profit nursing homes were ranked better than for-profit facilities in four areas:

  • Low or higher-quality staffing
  • Lower pressure sore rates
  • Less use of physical restraints
  • Fewer deficiencies cited by regulators

It is important to determine how to best provide the necessary level of care to one of society’s most vulnerable populations, the elderly.  More research is necessary in order to learn more about the connection between the for-profit status and quality of care.

Resources:

Fierce Healthcare - Study: Not-For Profit Nursing Homes Offer Higher Quality Than For-Profits

HealthDay – Not-For-Profit Nursing Homes Fare Better In Studies

 

New Resource For Selecting A Nursing Home

U.S. News & World Report has attempted to refine the data from Centers for Medicare and Medicaid Services (CMS) to create America's Best Nursing Homes.  Under CMS's Nursing Home Compare, all 15,557 nursing homes across the country are rated on a five star ranking scale to help consumers make comparisons between facilities.  Facilities are rated on: health inspections, nurse staffing and individual quality measures.  Based on the ratings within the three areas, nursing homes are assigned an overall rating.

The problem with CMS's system is that the sheer volume of the facilities within each star rating can be overwhelming.  For example, there are 1,909 facilities with a five-star rating and 3,725 facilities with a four-star rating.

America's Best Nursing Homes, creates a more precise list by creating tiers within each category by essentially rating facilities on a 15-star system instead.  Of the 15,557 nursing homes in the United States, just 41 made U.S. News & World Report 'Honor Roll' by scoring perfect in each area of analysis.

In addition to providing a hierarchy within each star-rating area, America's Best Nursing Homes also hones search functions by allowing families to search for facilities with a specific religious affiliation or medicare acceptance.  The site also also makes it easier to search for facilities without knowing the complete name of the nursing home or its exact location.

Resource:

U.S. News & World Report, America's Best Nursing Homes

U.S. News & World Report, 10 Worst States For Top Nursing Homes

Related Nursing Homes Abuse Blog Posts:

Attorney General Lays Out Guidelines For Selection Of Nursing Homes & Assisted Living Facilities

Nursing Homes For Alzheimer's Patients. What To Look For?

Look, Listen, Smell

Nursing Homes Notified Of Their 'Five Star' Ratings Today

Letters notifying nursing home operators of their facilities rating, according to a new CMS 'five star' system, were mailed today.  Beginning on December 18th, the public will be able to access individual nursing home's ratings on the CMS website 'Nursing Home Compare.'  In addition to learning about the nursing home's actual rating on a five star scale, the website will allow users to access each facilities staffing level, compared to other facilities. The nursing home rating will be updated on a monthly basis as an incentive for facilities to consistently improve their care.  I am all for this new system.  Hopefully, this will enable nursing home residents and their families to learn which facilities are providing poor care before they learn on a firsthand basis.

Read more about the nursing home 'five star' rating system here.

Attorney General Lays Out Guidelines For Selection Of Nursing Homes & Assisted Living Facilities

On the heels of the widely publicized case of the Abusive Nursing Home Workers in Minnesota, the state's Attorney General, Lori Swanson, has put together some helpful guidelines when selecting a nursing home or assisted living facility for yourself or your loved one.  Many of the suggestions below are from the Ms. Swanson's article in the Echo Press.

Nursing Home v. Assisted Living Facility

First of all, it is important to distinguish between the two terms.  Nursing homes differ from assisted living facilities in terms of the level of medical care and services they provide.  Nursing homes provide 24-hour medical care to people with chronic medical conditions who do not require the acute care a hospital may provide.

Assisted living facilities provide a combination of housing, support services and some level of heath care.  Individuals in assisted living facilities are given more flexibility as to the type of assistance they desire.  Nonetheless, in order for a facility to call itself an 'assisted living facility' it must: provide at least two daily meals for its residents, have a daily resident check-in system, provide weekly housekeeping services and assistance with daily living activities.  Assisted living facilities also must offer certain health related services with administration of of medication.

Nursing Home Selection

The following is a list of questions you may want to consider before making a nursing home selection:

  • Is the nursing home Medicare or MA certified?
  • Does the nursing home have the level of care needed and is a bed available? (Check with DH and/or ask the facility directly.)
  • Is there a full-time registered nurse in the nursing home at all times?
  • What is the nursing home’s staff retention rate?
  • Does the same team of nurses and certified nursing assistants work with the same residents most days per week?
  • Is there a choice of food items at each meal, and are residents able to get their favorite food items?
  • Are staff members available to help residents eat and drink during mealtimes?
  • Are there daily activities for the residents?
  • Does the facility allow pets?
  • Is there an active volunteer program?
  • What is the nursing home’s safety and care plan in the event of an emergency?

Assisted Living Facility Selection

 

Because assisted living facilities have less governmental regulation than nursing homes, it is essential to be an advocate for your loved one and and get satisfactory responses to all questions. It is also advised that you ask to review a copy of the residence agreement outlining services, prices, extra charges, admission and discharge criteria, staffing and residence rules.

 

Additionally, you should ask the following questions when looking for an assisted living facility:

  • Are additional services available if a resident’s needs change?
  • What are the costs of the services?
  • Are residents required to purchase renters’ insurance for personal property in their units?
  • Does the residence have a clearly stated procedure for responding to a resident’s medical emergency?
  • What are the medical services available and how are they provided?
  • Is staff available to meet scheduled and unscheduled needs?
  • Are pharmacy, barber/beautician, and physical therapy offered on-site?
  • Is transportation available for residents to go to doctor appointments, etc.?
  •  Are there organized activities for residents?
  • Can residents have pets?
  • Do volunteers come into the residence to help with or conduct programs?
  • Do food menus vary from day to day and meal to meal, and are they nutritionally balanced?
  • Are staff welcoming and professional?
  • Do the residents socialize with one another?
  • Is the residence accommodating to wheelchairs and walkers?
  • Is the residence free of odors and appropriately heated/cooled?
  • Does the residence have a means of security if a resident wanders?
  • Does the residence have a process for assessing a resident’s need for services and are those needs addressed periodically?
  • Are there government, private, or corporate programs available to help cover the cost of services to the resident?

Make A Visit To The Facility

 

Nothing can take the place of a visit to a facility.  Making an unannounced visit to a nursing home or assisted living facility can be a helpful way to scope out its day-to-day function. Take a note of the following:

  • Is the facility well-kept?
  • Are the residents clean, appropriately dressed, and well-groomed?
  • Are the staff polite and respectful?
  • Do the staff recognize the residents by name?
  • Do the staffing levels appear appropriate for the number of residents? 

Nursing Homes For Alzheimer's Patients. What To Look For?

The following is a recent article I authored for the Senior Home Care Blog.  Senior Home Care Blog is a valuable source of information for caregivers to people who suffer from Alzheimer's, stroke, MS and other brain impairing conditions.  I highly reccommend this blog as a great resource to all home care providers and nursing home staff.

At some point, most Alzheimer’s patients will spend time in a nursing home or assisted living facility.  Whether, the stay is a temporary or permanent in nature, the special needs of Alzheimer’s patients must be recognized and evaluated before the person is placed into a nursing home environment.  There are no specific nursing home regulations in place for people with Alzheimer’s and dementia.  Consequently, the burden of selecting an appropriate facility falls squarely on the shoulders of the family or close friends.  The following is general ‘game plan’ that can be used by families of people with Alzheimer’s, dementia or traumatic brain injury to aid in the selection of a temporary or permanent nursing home.

Before any change in living arrangements is contemplated, a complete physical and mental assessment of you loved one should be completed.  A candid discussion of the individuals needs should be done in the presence of the family and caregivers.  Try to decide what the person is really capable of an in what areas the person needs assistance. Honesty is crucial.  An open and honest discussion will help with the selection of a facility, but will also help the staff at the facility a baseline get an idea of your loved one’s needs. 

 Initial selection of a nursing home or long-term care facility for an Alzheimer’s patient is no different from the selection of a nursing home for a non-Alzheimer’s patient.  The first step is to do some research about the facilities via friends or on the internet. I suggest the Medicare website (http://www.medicare.gov/NHCompare/Include/DataSection/Questions/SearchCriteria.asp?version=default&browser=Safari%7C2%7CMacOSX&language=English&defaultstatus=0&pagelist=Home&CookiesEnabledStatus=True) as a starting point.  You can see on-line where the facilities are located and what services they offer.

 After conducting some initial fact gathering about the facilities, a visit to the facility is a must.  Do not risk the safety and happiness of your loved one at a facility without physically visiting the facility. Before deciding on a facility at least two visits are in order.  The first visit should be a scheduled visit to get a tour from the staff.  If the initial visit passes muster, a second unannounced visit should be made.  The second visit will likely be more telling than a carefully coordinately tour.  Do not hesitate to talk with the staff during your visits.  You can learn a lot about the facility depending on their attitude and demeanor.  Unhappy staff is usually indicative of unhappy residents.

 Unlike most nursing homes that care for the elderly, nursing homes that care for Alzheimer’s patients and those suffering from a brain injury needs to take precaution to reduce the risk of residents harming themselves and others.  Nursing homes for Alzheimer’s patients should have specialized design considerations to help ensure the individual’s safety and happiness.  Facilities should:

 

-       Place restrictions on in-and-out privileges for residents.  Safeguards to prevent elopement (http://www.nursinghomesabuseblog.com/2008/07/articles/elopement-wandering/elopement/) and wandering (http://www.nursinghomesabuseblog.com/2008/07/articles/elopement-wandering/wandering/)—common sources of injury to Alzheimer’s residents.

-       Require each visitor to sign in.  Mentally impaired residents are disproportionately physically and sexually abused compared with the general nursing home population.

-       Bracelets and alarms.  Does the facility have a tracking system or alarm for residents who have a tendency to wander?  Depending on the mobility of the individual, a surveillance bracelet should be used to keep track of the person.

-       The facility should have clearly marked walkways inside and outsides the facilities. The walkways should be well lit, have directional signage with diagrams as opposed to written diagrams.

-       Have a circular configuration. Alzheimer’s patients get particularly frustrated when encountered by dead-ends and right angles.

Staffing Is The #1 Consideration

‘Does the facility regularly handle people with Alzheimer’s?’  This is an important question to ask, because the most important factor in your loved ones happiness and safety will be dependent on how much experience the facility has in dealing with Alzheimer’s patients.  Seek out a facility that focuses exclusively on Alzheimer’s care or has a specialized unit for residents with Alzheimer’s. If the facility houses both Alzheimer’s and non-Alzheimer’s patients, precautions should be in place to control both groups access to the other.  Though it may seem segregationalist, depending on the level of functionality, most Alzheimer’s patients should be kept together for their own safety.

 Most incidents involving nursing home injury occur due to staffing problems.  Don’t be afraid to ask some or all of the following:

-       Does the facility require / provide any specialized Alzheimer’s training for the staff?

-       Does the facility do backgrounds checks on all employees?

-       What is the policy for alerting a family member to an incident?

-       What is the policy for physical and / or drug restraints?

-       What is the facilities toileting policy? Are diapers changed regularly or does the facility only change on a schedule?

-       How does the facility ensure that resident’s eat?  Do they have staff to monitor what is and is not eaten?

-       What is the resident / staff ratio?  A general rule is 1:6 for staffing during the day.

Jonathan Rosenfeld is a lawyer in Chicago that concentrates his practice in representation of victims of nursing home abuse and neglect throughout the country.  Jonathan author’s the Nursing Homes Abuse Blog.  The blog contains information useful to families of nursing home residents and attempts to answer many frequently encountered questions regarding nursing homes and assisted living facilities. Jonathan is available to discuss all aspects of nursing home care.  You may reach him at Jonathan@rosenfeldinjurylawyers.com or toll-free (888) 424-5757.

Take Your Loved One With You

How would you feel if someone told you to go live in a new place where you know no one and have never seen the facility before?  You probably would be sad, upset and I'll be pretty stressed. 

I came across this article written by Dr. Michael Camardi appearing the the Ranoake Times who put together a nice list of things to do when selecting a nursing home for a loved one.  I am particularly fond of his idea of including the actual resident when selecting the facility.  Even if extraordinary steps need to be taken to physically bring the person to visit the nursing home via ambulance or medical transport, it is time and money well spent.  If the person is completely bed-bound, take photos of the various facilities to help them in making this important decision.

Below is Dr. Camardi's list of steps to take when selecting a nursing home:

1. Geography. Try to find a home within a 20-minute driving distance (no longer than a half-hour) so as to make the journey easily as there will be frequent trips to visit, bring various items, attend meetings with the staff, etc. When there's an emergency, time is important.

2. Use your phone sense. Call prospective homes and gauge how well the staff handles your questions and arranges an appointment for you to take a tour of the facility. You can tell a lot about the stress level of the site by the way a phone inquiry is handled.

3. Go the state health department Web site (www.vdh.state.va.us/OLC/longtermcare/) for a copy of the last three state surveys. Seeing the last one is not enough. What you want to see is if the site has a tradition of excellence in caring for the elderly.

4. Use your instinct. Recall how your senses were alerted when you went to look at a prospective house for sale? Think of what you looked for: Was it clean or dusty? Was it bright and cheerful or dull and depressing? Did it smell fresh or was there an odor? Apply those same standards when looking for a place to live for your loved one.

5. Make a list of the specific issues that pertain to your loved one and pose those questions. These can run the gamut from dietary concerns to newspaper delivery to types of TV/radio sets to pictures on the wall. Does the facility make every effort to make the nursing home your loved one's home or do they put barriers in the way?

6. When you get to the site, how are you received? Do you get eye-to-eye contact. Are you given an information package detailing the key features of the facility. Do they offer refreshments while you're on tour. In short, are they happy to do their best so as to have you entrust them with your loved one?

7. Look closely at the other residents. Don't see many? There may be a reason. Do the patients who seem most impaired look clean and well-kept? Those are the most challenging ones for the staff and can be a good insight into the level and quality of nursing care. Look down the halls and see how long it takes for a call bell to be answered.

8. Look at the staff. Are they busy and engaged with the residents? Are there relationships there or is everyone just going through the motions?

9. Come back on the evening shift unannounced. This is very, very important on many levels, and if the impression you received during your tour is confirmed during your evening visit, then you have a serious candidate.

10. Talk to people about your findings and seek affirmation. Friends who have placed loved ones in nursing homes, social workers who place patients in nursing homes and doctors who care for patients in nursing homes. These are the people at the tip of the spear.

11. Make the decision about the final placement together. Leave nobody out even if they are not directly involved. Don't be second-guessed. This is the time to bring up the issue of appointing someone as having power of attorney. It is a great responsibility and the one who is chosen must have good judgment, sound reasoning and have known the patient very well over the years.

Look, Listen, Smell

I came across this post in Bill Jackson's Elder Abuse Blog regarding the selection of a nursing home.  We are so connected to the internet and its resources for checking on people and facilities that we have become disconnected with actually going out and getting our hands dirty when investigating nursing homes for a loved one.  Preliminary research may be effectively done on a computer, but as Bill Jackson recently wrote in is blog, nothing can take the place of your senses.

A visit with the following in mind will give you the best idea of how your loved one will live on a daily basis at each facility.

Look

Look at the residents and staff.  Do they seem rushed and frantic?  Are the residents alert or do they seem glassy eyed?  Are people smiling?

Listen

What do you hear?  Is it resident's yelling in pain?  Worse yest do you hear staff speaking to the residents in a harsh tone?  Is the tv blaring in a room where a resident is sleeping?  Are call bells continually going off? 

Smell

Does the facility smell clean?  Go into the cafeteria, does it smell like food?  Is the smell of urine, vomit or feces anywhere?  If so, your on site inspection is done.

 

65 Illnois Nursing Homes On Second Quarter Violation List

The Illinois Department of Public Health released is listing of nursing homes from the 2008 second quarter.  The listing has nursing homes that  the IDPH has determined to be in violation of the Nursing Home Care Act.  In some situations, IDPH has recommended decertification to the Director of the Illinois Department of Healthcare and Family Services, or the Secretary of the U.S. Department of Health and Human Services for violations in relation to poor patient care, pursuant to Titles XVIII and XIX of the Social Security Act.  Further, these facilities have 'type A' violations indicating that the conditions at the facilities pose imminent harm or death to the residents.

Do you or a loved one live at any of these facilities?  Many of these facilities frequently appear on the quarterly listing.  Here's the list:

1.    Aspire on Eastern
105 Eastern Avenue
Bellewood, Illinois  60104
  
2.    Asta Care Center of Bloomington
1509 North Calhoun Street
Bloomington, Illinois  61701

3.    Asta Care Center of Rockford
707 West Riverside Boulevard
Rockford, Illinois  61103    

4.    Auburn Nursing & Rehab Center
304 Maple Avenue
Auburn, Illinois  62615

5.    Bethesda Lutheran-Aurora
1480 Reckinger Road
Aurora, Illinois  60505

6.    Big Meadows
1000 Longmoor Avenue
Savanna, Illinois  61074

7.    Blue Island Nursing Home
2427 West 127th Street
Blue Island, Illinois  60406

8.    Bridgeview Health Care Center
8100 South Harlem Avenue
Bridgeview, Illinois  60455

9.    Brother James Court
2500 St. James Road
Springfield, Illinois  62707

10.    Chestnut Corner
905 West Chestnut Street
Louisville, Illinois  62858

11.    Diamond Development Co.
150 South State Rte. 45, Box 250
Louisville, Illinois  62858

12.    Clearbrook Center
3201 West Campbell Street
Rolling Meadows, Illinois 60008

13.    Crestwood Care Center
14255 South Cicero Avenue
Crestwood, Illinois  60445

14.    Danville Care Center
1701 North Bowman
Danville, Illinois  61832

15.    Davis House
4237 South Indiana Avenue
Chicago, Illinois  60653

16.    Ada S. McKinley Community Services, Inc.
725 South Wells, Suite !-A
Chicago, Illinois  60607

17.    Decatur Rehab & Health Care Center
136 South Dipper Lane
Decatur, Illinois  62522

18.    Petersen Health Operations, LLC
830 West trailcreek Drive
Peoria, Illinois  61614

19.    Fountains at Crystal Lake
1000 East Brighton Lane
Crystal Lake, Illinois  60012

20.    Sunrise IV Crystal Lake SL, L.L.C.
208 South LaSalle St., Ste, 814
Chicago, Illinois  60604

21.    Glenwood Healthcare & Rehab
19330 South Cottage Grove
Glenwood, Illinois  60425

22.    Golfview Developmental Center
9555 West Golf Road
Des Plaines, Illinois 60016

23.    Hammond House
6701 South Morgan
Chicago, Illinois  60621

24.    Ada S. McKinley Community Services, Inc.
725 South Wells, Suite 1-A
Chicago, Illinois  60607

25.    Helia Healthcare Of Energy – DD
210 East College
Energy, Illinois  62933

26.    IL Veterans’ Home at Quincy
1707 North 12th Street
Quincy, Illinois  62301

27.    Illinois Knights Templar Ha
450 Fulton Street, P.O. Box 49
Paxton, Illinois  60957

28.    Knox County Nursing Home
800 North Market Street
Knoxville, Illinois  61448

29.    Lakeview Living Center
7270 South Shore Drive
Chicago, Illinois  606049

30.    Progressive Housing, Inc.
2020 West War Memorial Drive, St. 103
Peoria, Illinois  61614

31.    LaSalle Healthcare Center
1445 Chartres Street
LaSalle, Illinois  61301

32.    MHC Illinois, Inc.
208 South LaSalle Street
Chicago, Illinois  60604

33.    Lexington Of Chicago Ridge
10300 Southwest Highway
Chicago Ridge, Illinois  60415

34.    Manorcare at Elk Grove Village
1920 Nerge Road
Elk Grove Village, Illinois  60007

35.    Manorcare at Peoria
5600 Glen Elm Drive
Peoria, Illinois  61614

36.    Manorcare at Palos Heights
7850 West College Drive
Palos Heights, Illinois  60463

37.    Maple Terrace
1510 North Fourth Street
Quincy, Illinois  62301

38.    Community Living Options, Inc.
285 South Farnham Street
Galesburg, Illinois  61401

39.    Meadows
3250 South Plum Grove Road
Rolling Meadows, Illinois  60008

40.    Mount Vernon Health Care Center
#5 Doctor’s Park
Mount Vernon, Illinois  62864

41.    Petersen Health Care II, Inc.
830 West Trailcreek Drive
Peoria, Illinois  61614

42.    Mosaic Living Center
7464 North Sheridan Road
Chicago, Illinois  60626

43.    Sheridan Springs, L.L.C.
7444 Long Avenue
Skokie, Illinois  60077

44.    Norridge Healthcare & Rehab Centre
7001 West Cullom
Norridge, Illinois  60706

45.    North Adams Home
2259 East 1100th Street
Mendon, Illinois  62351

46.    Oak Park Healthcare Center
625 North Harlem
Oak Park, Illinois  60302

47.    Odd Fellow – Rebekah Home
201 Lafayette Avenue
East Mattoon, Illinois  61938

48.    Pleasant View
500 North Jackson Street
Morrison, Illinois  61270

49.    American Health Enterprises, Inc.
606 Diamond Court
Morrison, Illinois  61270

50.    Provena St. Anne Center
4405 Highcrest Road
Rockford, Illinois  61107

51.    Randolph County Care Center
312 West Belmont
Sparta, Illinois  62286

52.    Renaissance At Hillside
4600 North Frontage Road
Hillside, Illinois  60162

53.    Rest Haven South Nursing Home
16300 Wausau Street South
Holland, Illinois  60473

54.    Ridgeland Nursing and Rehab Center
12550 South Ridgeland Avenue
Palos Heights, Illinois  60463

55.    Sangamon Care Center
2800 West Lawrence
Springfield, Illinois  62704

56.    Saint Clare Home
5533 North Galena Road
Peoria Heights, Illinois  61614

57.    OSF Healthcare System
St. Francis Lane
East Peoria, Illinois  61611

58.    St. Agnes Healthcare and Rehab Center
1725 South Wabash
Chicago, Illinois  60616

59.    St. Agnes Manor, Inc.
1541 North Wells Street
Chicago, Illinois  60610

60.    Stephenson Nursing Center
2946 South Walnut Road
Freeport, Illinois 61032
 
61.    Village Inn-Cobden
114 Ash Street
Cobden, Illinois  62920

62.    Westbury Care Center
1800 Robin Lane
Lisle, Illinois  60532

63.    Brookdale Living Communicaties of IL, DNC, LLC
330 North Wabash Avenue, Ste 1400
Chicago, Illinois  60611

64.    William L. Dawson Home
3500 South Giles Avenue
Chicago, Illinois  60653

65.    Woodstock Residence
309 McHenry Avenue
Woodstock, Illinois  60098

Most of the above violations were made following a complaint initiated by a resident or their family.  If you believe a facility is treating its residents improperly or the resident is at risk for harm make a report of the incident today.

 

Tired Of Hearing Bad News About Nursing Homes? Here's How To Keep Out

We've discussed how nursing homes often provide poor care.  Nursing home residents often suffer from bedsores, medication errors, inadequate nutrition, falls and physical abuse.  Not to mention the nursing home residents pay handsomely for the privilege of subjecting themselves to these potentially deadly problems. 

Emily Brandon, of U.S. News and World Report , did a nice job reporting on programs available to seniors to allow them remain independent and out of nursing home facilities.  While the services detailed below may not be available in all areas, they give an idea of they types of programs available to seniors to provide assistance in their daily lives.

Transportation:  Seniors at Sunset Neighborhood in New Hartford, N.Y. can get a door-to-door ride to a doctor's appointment, shopping, restaurants, or errands.  The charge for the service is $450 to $725 yearly based on the services requested.

Home Maintenance:
Capital Hill Village in Washington, D.C. employs volunteers to do basic home maintenance for light bulb changes, vacuum bag changes and moving of furniture. If the request requires more skill, the group has contracted vendors to provide discounted services.

Meals: Sunset Neighborhood does grocery shopping for its members every three weeks,  Other developments will have meals delivered or have scheduled meal sign-up which allow for seniors to enjoy each others company while eating at alternating homes.

Health Assistance: Many communities have daily telephone check-in's.  Others have plans in place for neighbors to actually ring each others door bell.

The above are simple examples of community sponsored care that enables seniors to remain independent.  The above can be implemented in any area where the services are desires.  Moreover, the above examples of care are not expensive. 

Eden Or A Warehouse? You Choose.

Would you like to live in Eden?  A place where you were able to grow and harvest your own food.  A place where you could play with exotic birds.   A place where children's' laughter fills the air.  Eden may be closer than your think.

Eden Alternative, is part of new group of facilities where focus is more on providing an elder-centered community than an warehouse for the frail and sick.  Of course care needs to be the priority at all facilities, but putting a premium on quality of life makes for a far more enjoyable experience for residents.

Dr. William Thomas, the author of 'Life Worth Living: How Someone You Love Can Still Enjoy Life in a Nursing Home,' is the founder of Eden Alternative.  In 1991 Dr. Thomas opened his first facility in New Berlin, New York.  Right away it was obvious that Eden Alternative was different.  Children, plants and animals were part of daily life for the residents. 

Eden Alternative principals include:
  • Loneliness, helplessness and boredom are plagues and account for most of the suffering among elders.
  • An elder-centered community is committed to a human habitat where life revolves around contact with plants, animals and children.
  • Loving companions are the antidote to loneliness.
  • An elder-centered community creates opportunity to give and receive.
  • The community creates an environment where the unexpected can happen; it is an antidote to boredom.
  • The opportunity to find something meaningful is essential to human health.
  • Medical treatment should be the servant, not the master, of human caring.
  • The community honors its elders by de-emphasizing top-down bureaucratic authority, placing decision-making with the elders or those closest to them.
  • Creating an elder-centered community is a process, not a program.
  • Wise leadership is the lifeblood against the plagues of loneliness, helplessness and boredom.
Eden Alternative works.  Evaluations of the Eden Alternative residents compared with residents of traditional nursing homes revealed that residents needed significantly fewer drugs, lived longer, and staff turnover was less.  Read more about Eden Alternative here.

Dr. Thomas's newest concept is the Green House, a radically new approach to long-term care. Read more about the Green House here.

Potential Alternative to Nursing Homes


The Robert Wood Johnson Foundation commissioned a study conducted by Dr. Bill Thomas to look into alternatives to traditional nursing homes.  The results of the study suggest a viable alternative to traditionally large nursing home facilities may be a home-like facility with 10-12 people. 

The foundation has coined the term 'Green Houses' to describe the new facilities.  Currently, there are 40 Green Houses in operation.  If the facilities are feasible and the residents are happy, the foundation plans to open the Green Houses in every state.

Currently the nursing home industry in in crisis.  According to an AARP poll, 99% of people do not want to be in a nursing home during their senior years.  Even though the elderly population is growing quickly, there are vacancies in many nursing homes because people are put off by the prospect of being warehoused as they age.

Read the full article here.

A Daughter's Struggle To Find Adequate Nursing Home Care For Her Father

Star-systems, internet searches and recommendations from friends are all good places to start when looking for a long-term care facility for an elderly family member. None of them take the place of doing things the old-fashioned way...going out to a facility and looking for oneself. A hands on approach when looking at facilities is the only way to to ensure the pictures in the brochures are for real.

This article chronicles an 84-year-olds struggle to find a decent facility.  Unfortunately, even with the aid of his daughter, finding an adequate facility was difficult. The elderly man learned the hard way that many facilities are not what they appear. After the elderly man suffered severe weight loss, urinary tract infections, dehydration, malnutrition, pressure sores and low blood sugar, due to poor care at a carefully chosen facility, the father and daughter were forced to renew their search for a place for him to live and thrive. Fortunately, the family made a record of this substandard care. The incidents of abuse and neglect were reported to the Illinois Department of Public Health

Read the complete Chicago Sun Time article here.

If you believe that a family member or friend has suffered abuse or neglect at a long-term care facility report it to the Illinois Department of Public Heath. The elderly in these facilities have rights. Call 1-800-252-4343 today to make a report.  A call reporting the incident initiates the process.  Then a State representative will go out to the facility and conduct a thorough investigation.
 
Make sure you have the following handy before making the call:

  • The name, date of birth and social security number of the person for whom you are making the report
  • The name and address of the facility where the incident took place
  • A concise version of what actually occurred
  • The date and time of the incident
  • Provide specific detail of the injury
  • Make the report as soon after the incident as feasible to ensure the investigators have access to witnesses

You may report these claims anonymously or you make provide your name. Similarly, if you provide your name you have a right to be copied on the investigation's completion.

Call Lights. How Should Staff Respond?

Nursing homes, hospitals, and long-term care facilities should have 'call lights' for residents to get the attention of the staff.  Most call lights are connected to patient beds.  The call lights should be located within easy reach of the residents and the calls should be responded to promptly by staff.  Most call light systems are connected only to a central nursing desk.  As a result, some 'call light' pages may go unanswered or responses to the call lights may be delayed if the staff is not in close to the desk.

A newer call light system, utilizing pager technology would help staff respond quicker to residents requests.  Yet other call light systems allow residents to carry pagers which prompt nursing home staff to respond to a page regardless of where the residents it.  A mobile pager would be especially helpful for dealing with nursing home falls.

Look at the full Salt Lake City Tribune article here.

Nursing Home Inspectors Miss Major Problems

 

Nursing Homes must meet certain Federal and State guidelines in order to receive money and keep their accreditation. Investigators periodically go to the facilities to ensure compliance. A recent New York Times article suggests that even these 'professional' nursing home investigators miss obvious safety violations.

According to the Mr. Morris, one of the studies sponsors, even some of the most obvious problems with nursing home residents went unnoticed.  "We’ve found patients with maggot infestations in wounds and dead flesh. We’ve found residents with broken bones that went unmended.”

This article raises the question: what can you do to assure your family member is in a satisfactory facility? Here are several basic things to look for when selecting a nursing home:

  • Make multiple unannounced visits at different times
  • Look at the residents, do they seem happy?
  • Ask friends about the facility
  • Does the staff know the residents by their names?

Medicare set forth a check-list for selection of a nursing home or long-term care facility.  You can view the Medicare suggested check list here.

 

 

About Jonathan Rosenfeld

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Jonathan Rosenfeld is a lawyer who represents people injured in nursing homes and long-term care facilities.   Jonathan has represented...

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