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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

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

Two Stars 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

Two Stars 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

Four Stars Above Average
3 Key Short Stay Statistics
Description Ambassador Nursing & Rehab Center Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
14.0% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.0% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
32.7% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
12.8% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
8.3% 2.1%
4 Key Long Stay Statistics
Description Ambassador Nursing & Rehab Center Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
2.1% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
2.0% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
3.6% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
6.5% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
43.5% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
1.5% 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.
14.2% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
2.9% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
8.2% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
17.8% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
12.1% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
95.0% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
76.3% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
4.9% 18.8%
5 Inspection Summary

Date of standard health inspection: 07/26/2018
Total number of health deficiencies: 12
Average number of health deficiencies in Illinois: 10.6

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