Ambassador Nursing and Rehab Center

Ambassador Nursing and Rehab Center has 190 certified beds. The facility participates in Medicare and Medicaid. Ambassador Nursing and Rehab Center is not a continuing care retirement community. The ownership of the facility is a for-profit corporation. Ambassador Nursing and Rehab Center is located south of the Albany Park neighborhood on Chicago’s northwest side. The overall rating of Ambassador Nursing and Rehab Center is below average.

The Illinois Department of Health and Human Services regularly conducts inspections of Illinois nursing homes and long-term facilities around the state. These inspections take place every 18 months. For the Ambassador Nursing and Rehab Center, such an inspection was completed by survey on June 11, 2015. Based on observation, interview and record review, the facility failed to ensure that restraints were identified, assessed and re-evaluated for treatment. Furthermore, based on observation, interview and record review, Ambassador Nursing and Rehab Center failed to provide excessive call lights for 5 residents who were reviewed. During the initial tour, one resident was found lying in bed sleeping. The call light was clipped to a plastic cup that was sitting on top of the resident’s bedside dresser and was not in reach. The nursing supervisor responded in part stating that the call light should not be attached to the cup. The nurse supervisor stated “I don’t know why this is here.” During the same tour, another resident was observed lying in bed with the call light hanging downward behind the head of the bed and out of reach. The nursing supervisor stated in part that the call light should be where the resident can reach it. It was stated “I’m not sure why it is behind the bed.”

Based on observation, interview and record review at this June 2015 inspection, it was found that Ambassador Nursing and Rehab Center failed to ensure that the portable oxygen tanks were free of frosted parts. This has the potential to affect 2 of 4 residents from the supplemental sample reviewed for resident equipment safety. It was found on June 10, 2015 that a resident was seated in the third floor dining room. The resident was wearing oxygen at 2 liters per nasal cannula by way of a portable oxygen tank. This oxygen tank’s outer casing was coated with ice and snow and had smoke coming out from the bottom. The nurse was made aware of this condition immediately. The nurse stated that she would notify maintenance but did not replace the oxygen tank and returned to the task of passing resident medications.

The overall rating for staffing at Ambassador Nursing and Rehab Center was found to be below average. The registered nurse staffing however was shown to be average. The total number of licensed nurse staff hours per resident per day at Ambassador Nursing and Rehab Center was 1 hour and 7 minutes. This is below the Illinois average of 1 hour and 34 minutes and the national average of 1 hour and 42 minutes. The registered nurse hours per resident per day at Ambassador Nursing and Rehab Center was 47 minutes. This too was below the Illinois average of 56 minutes and the national average of 51 minutes. The CNA hours per resident per day at Ambassador Nursing and Rehab Center was 1 hour and 40 minutes, whereas the Illinois average was substantially higher at 2 hours and 15 minutes and the national average of 2 hours and 28 minutes. With respect to physical therapy staff hours per resident per day at Ambassador Nursing and Rehab Center, it was shown that just 2 minutes were available to residents per day. That compared very poorly to the 6 minutes of physical therapy staff hours per resident per day for the Illinois average and the national average.

The quality measures for Ambassador Nursing and Rehab Center were found to be average. 28.4% of Ambassador Nursing and Rehab Center’s short-stay residents were re-hospitalized after a nursing home admission. That percentage was higher than the Illinois and national averages. On the other hand, only 9.7% of Ambassador Nursing and Rehab Center’s short-stay residents had an outpatient emergency department visit. This compared favorably to the Illinois average of 12.1% and the national average of 11.5%. 52.6% of the short-stay residents were assessed and given the appropriate seasonal influenza vaccine. This percentage again was lower than the Illinois average of 75.6% and the national average of 80.3%.

Just 1.9% of Ambassador Nursing and Rehab Center’s long-stay residents experienced one or more falls with major injury. That percentage was better than the Illinois and national averages, which were both 3.3%. 6% of Ambassador Nursing and Rehab Center’s long-stay high-risk residents developed pressure ulcers. This percentage of residents developing pressure ulcers at the facility was nearly the same as the Illinois average of 6.3% and the national average of 5.8%. It was noted that Ambassador Nursing and Rehab Center’s long-stay residents whose ability to move independently worsened was just 18.2%. This compared nearly identical to the percentages in this category for the State of Illinois and the United States.

Ambassador Nursing and Rehab Center has not received any federal or state fines in the last 3 years.

1 Vital Statistics
Number of Beds: 190 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

A rating of 1 to 5 stars based on the health inspection, staffing, and quality measures ratings combined into one. More stars are better.

Two StarsBelow Average
Health Inspection information

A rating of 1 to 5 stars based on the nursing home’s health inspection results. More stars are better.

Two StarsBelow Average
Staffing information

A rating of 1 to 5 stars based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Certified Nursing Assistants (CNAs). More stars are better.

Two StarsBelow Average
RN Staffing information

A rating of 1 to 5 stars based on the amount of time Registered Nurses (RNs) spend with residents as reported by the nursing home. More stars are better.

Three StarsAverage
Quality Measures information

A rating of 1 to 5 stars based on resident assessment data that show how well the nursing home cares for residents’ needs. More stars are better.

Three StarsAverage
3 Key Short Stay Statistics
DescriptionAmbassador Nursing & Rehab CenterIllinois
Average
Percent of short-stay residents who self-report moderate to severe pain.
Lower percentages are better.
16.2%11.5%
Percent of short-stay residents with pressure ulcers that are new or worsened.
Lower percentages are better.
0.0%1.1%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
Higher percentages are better.
52.6%73.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine.
Higher percentages are better.
52.7%76.3%
Percent of short-stay residents who newly received an antipsychotic medication.
Lower percentages are better.
3.7%2.3%
4 Key Long Stay Statistics
DescriptionAmbassador Nursing & Rehab CenterIllinois
Average
Percentage of long-stay residents experiencing one or more falls with major injury.
Lower percentages are better.
1.9%3.4%
Percentage of long-stay residents with a urinary tract infection.
Lower percentages are better.
1.2%3.9%
Percentage of long-stay residents who self-report moderate to severe pain.
Lower percentages are better.
5.9%4.4%
Percentage of long-stay high-risk residents with pressure ulcers.
Lower percentages are better.
6.0%5.8%
Percentage of long-stay low-risk residents who lose control of their bowels or bladder.
Lower percentages are better.
45.1%44.1%
Percentage of long-stay residents who have/had a catheter inserted and left in their bladder.
Lower percentages are better.
6.5%2.4%
Percentage of long-stay residents who were physically restrained..
Lower percentages are better.
0.7%0.4%
Percentage of long-stay residents whose ability to move independently worsened.
Lower percentages are better.
18.2%17.2%
Percentage of long-stay residents whose need for help with daily activities has increased.
Lower percentages are better.
20.4%14.4%
Percentage of long-stay residents who lose too much weight.
Lower percentages are better.
4.9%7.9%
Percentage of long-stay residents who have depressive symptoms.
Lower percentages are better.
0.5%18.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication..
Lower percentages are better.
13.8%21.9%
Percentage of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
Higher percentages are better.
85.4%92.8%
Percentage of long-stay residents assessed and given, appropriately, the pneumococcal vaccine.
Higher percentages are better.
87.2%91.6%
Percentage of long-stay residents who received an antipsychotic medication.
Lower percentages are better.
27.2%19.3%
5 Inspection Summary

Date of standard health inspection: 06/11/2015
Total number of health deficiencies: 9
Average number of health deficiencies in Illinois: 8.9

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