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The Mosaic of Lakeshore

The Mosaic of Lakeshore has 313 certified beds that participate in both Medicare and Medicaid. The facility is located in the Rogers Park neighborhood on Chicago’s north side. The ownership of Mosaic of Lakeshore is an individual for profit. The Mosaic of Lakeshore is not in a continuing care retirement community. Its overall rating is much below average.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes approximately every 18 months. One of these inspections was done at The Mosaic of Lakeshore that was completed on March 1, 2016. The inspections by the Illinois Department of Health and Human Service is designed to understand if there are any health deficiencies, mistreatment, required nutrition and dietary protocol, pharmacy services and environmental issues. The Mosaic of Lakeshore was found to have ten health deficiencies during the inspection period July 1, 2015 through June 30, 2016. There were no violations of any fire safety matters.

Based on observation, interview and record review from the March 1, 2016 survey, the facility, The Mosaic of Lakeshore, failed to ensure a privacy curtain during hygiene care for one resident. On February 17, 2016, a resident was being bathed by a Certified Nurse Assistant (CNA). The resident had no clothes on except for an adult diaper and was in full view of her roommate. The CNA admitted that she did not pull the privacy curtain while the resident was unclothed. The resident said she “felt ashamed” because of the exposure. The facility failed to follow its own policy in that respect.

In another health issue during this inspection, it was found that the facility failed to revise the plan of care to include interventions to prevent or reduce the risk of falling of a resident while sitting up in a chair. This resident had two prior falls from a chair prior to this one.

The Mosaic of Lakeshore was considered average in terms of staffing. The total number of licensed nurse staff hours per resident per day at The Mosaic of Lakeshore was 1 hour and 28 minutes. This was substantially the same number of licensed nurse staff hours per resident per day as the Illinois average and the national average. The registered nurse hours per resident per day at The Mosaic of Lakeshore were just 37 minutes. This was 20 minutes less than the Illinois average of 57 minutes and 14 minutes less than the national average of 51 minutes in this category. The CNA hours per resident per day were 2 hours and 13 minutes which nearly matches the Illinois and national averages in this category.

The Mosaic of Lakeshore is rated below much average in quality measures. For example, 21.4% of The Mosaic of Lakeshore’s short-stay residents were re-hospitalized after a nursing home admission. This is only slightly better than the Illinois average and matches nearly identically to the national average for this category of re-hospitalizations. Just 5.5% of The Mosaic of Lakeshore’s short-stay residents had an outpatient emergency department visit. This percentage is considered very favorably next to the Illinois average of 12.1% and the national average as well.

The Mosaic of Lakeshore’s long-stay high-risk residents experienced the onset of pressure ulcers in 11.8% of its residents. This is far worse on average compared to Illinois and U.S. averages in this category. 22.2% of The Mosaic of Lakeshore’s long-stay residents had experienced worsened ability to move independently. The Illinois average of 17.9% of long-stay residents experienced worsened conditions in moving independently. The national average was also lower by percentage points compared to The Mosaic of Lakeshore in this category.

90.8% of The Mosaic of Lakeshore’s long-stay residents were assessed and given the appropriate seasonal influenza vaccine. This percentage was only slightly lower than the Illinois and national averages in this category.

The Mosaic of Lakeshore was fined on November 20, 2013 in the amount of $17,150. Another fine was assessed in the amount of $6,726 on June 12, 2014. According to the Medicare.gov Nursing Home Compare website, these fines were in the federal fine category.

1 Vital Statistics
Number of Beds: 313 certified beds

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

Accepts: Medicare and Medicaid

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

2 Key Ratings
Star Rating Summary
Overall Rating

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

Much Below Average
Health Inspection

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

Much Below Average
Staffing

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

Much Below Average
RN Staffing Much Below Average
Quality Measures

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

Average
3 Key Short Stay Statistics
Description Mosaic Of Lakeshore, The Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.8% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.1% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
35.4% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
34.1% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
6.1% 2.1%
4 Key Long Stay Statistics
Description Mosaic Of Lakeshore, The Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
1.9% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
3.9% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.8% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
13.1% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
33.7% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
5.5% 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.
12.5% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
9.9% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
6.4% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
71.7% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
12.9% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
70.4% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
59.7% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
20.1% 18.8%
5 Inspection Summary

Date of standard health inspection: 10/18/2018
Total number of health deficiencies: 18
Average number of health deficiencies in Illinois: 10.6


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