Alden Town Manor Rehab and Healthcare Center

 

Alden Town Manor Rehab and Healthcare Center, 6120 W. Ogden, Cicero, IL 60804

Alden Town Manor Rehab and Healthcare Center has 237 certified beds. The facility participates in Medicaid and Medicare. Alden Town Manor Rehab and Healthcare Center Nursing & Rehab Center is run as a for-profit corporation. The facility is located in the Cicero, Illinois, which is west of Chicago’s city limits. The overall rating is much below average.

The Illinois Department of Health and Human Services conducts inspections of Illinois nursing homes on average every 18 months. One such inspection was done at Alden Town Manor Rehab and Healthcare Center in March 2016. During this inspection, it was found that Alden Town Manor Rehab and Healthcare Center failed to keep each resident free from physical restraints unless needed for medical treatment.

Based on observation, interview and record review, the facility failed to assess the necessity of a seatbelt and obtain a physician’s order and informed consent for the device and document the use of the seatbelt in the resident’s care plan. This has the potential affect 1 of 2 residents reviewed for restraints of a total of 27. In one case, a resident was in a wheelchair with a seatbelt. The resident made 3 attempts to demonstrate that she could release this seatbelt. She was unable to do so after several feeble attempts.

According to the Director of Nursing, if a seatbelt is not able to be removed by the resident, it is considered a restraint. There needs to be an assessment of a necessity for the device, a physician’s order and an informed consent from the resident or power of attorney holder. The assessment is performed by the restorative nurse if a resident is too weak to remove a self-releasing seatbelt. In that case the device becomes a restraint. There must be an assessment, a physician’s order and a consent from the resident or power of attorney holder. It also should be documented in the resident’s care plan. The physician’s order should include the reason for the seatbelt and when it should be worn or removed such as for activities and/or one-on-one supervision. If a seatbelt is placed on a wheelchair for therapeutic intervention, such as trunk control, and the resident can’t remove it, there still needs to be a physician’s order and a consent for the device.

The inspection of March 2016 at Alden Town Manor Rehab and Healthcare Center indicated that there was a failure to assist those residents who needed total help with eating/drinking, grooming and personal and oral hygiene. There was also a criticism made by the Department of Health and Human Services as to Alden Town Manor Rehab and Healthcare Center‘s procedure to make sure that residents with reduced range of motion receive the proper care and treatment to increase range of motion. Further, there was criticism that residents were not receiving proper care for those needing special services.

The measure of staffing at Alden Town Manor Rehab and Healthcare Center was considered below average. The total number of licensed nurse staff hours per resident per day was 1 hour and 13 minutes. This was lower than the Illinois and national averages. The Registered Nurse hours per resident per day was 35 minutes. The Illinois average is 56 minutes. The Licensed Practical Nurse hours per resident per day at Alden Town Manor Rehab and Healthcare Center was 38 minutes. This was near or equal to the Illinois average and below the 51 minutes per resident per day which was the national average. Alden Town Manor Rehab and Healthcare Center provides 4 minutes of physical therapy staff hours per resident per day. The Illinois and national averages in this category are both 6 minutes.

Alden Town Manor Rehab and Healthcare Center is considered average in quality measures. The percentage of short-stay residents who made improvements in function was shown to be 64.3%. This was higher than both the Illinois and national averages. 30.5% of Alden Town Manor Rehab and Healthcare Center’s short-stay residents were re-hospitalized after a nursing home admission. This was higher than the Illinois and national averages in this category. 9% of Alden Town Manor Rehab and Healthcare Center’s short-stay residents had an outpatient emergency department visit. This compared favorably to the Illinois average of 12.15% and the national average of 11.5%. 52.4% of Alden Town Manor Rehab and Healthcare Center’s short-stay residents were successfully discharged to the community. This was equal to or better than the Illinois and national averages. Only 23.3% of Alden Town Manor Rehab and Healthcare Center’s short-stay residents received the appropriate pneumococcal vaccine compared to 77.1% for Illinois nursing homes and 81.1%, which was the U.S. average.

5.5% of Alden Town Manor Rehab and Healthcare Center’s long-stay high-risk residents developed pressure ulcers. This was lower than both the Illinois and national averages. 27.7% of the long-stay residents whose ability to move independently worsened was higher at Alden Town Manor Rehab and Healthcare Center than the Illinois and national averages for this particular category. Only 62.4% of Alden Town Manor Rehab and Healthcare Center’s long-stay high-risk residents were assessed and given the appropriate pneumococcal vaccine. This was considerably lower percentagewise than the Illinois and national averages which were both in the 90% area.

Alden Town Manor Rehab and Healthcare Center has received no fines in the last 3 years.

1 Vital Statistics
Number of Beds: 249 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2 Key Ratings
Star Rating Summary
Overall Rating information

Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

One Star Much Below Average
Health Inspection information

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

One Star Much Below Average
Staffing information

Medicare assigns the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

Two Stars Below Average
RN Staffing Two Stars Below Average
Quality Measures information

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Two Stars Below Average
3 Key Short Stay Statistics
Description Alden Town Manor Rehab & Hcc Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.9% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.6% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
58.7% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
23.2% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
2.7% 2.1%
4 Key Long Stay Statistics
Description Alden Town Manor Rehab & Hcc Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
3.0% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
1.1% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.0% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
9.4% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
55.0% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
2.4% 2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.0% 0.3%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
18.4% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
15.8% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
4.4% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
0.6% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
13.2% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
82.3% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
69.4% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
15.8% 18.8%
5 Inspection Summary

Date of standard health inspection: 03/14/2019
Total number of health deficiencies: 11
Average number of health deficiencies in Illinois: 10.6

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