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Avanti Wellness & Rehab

Avanti Wellness & Rehab, 6840 W. Touhy Avenue, Niles, Illinois 60714

Avanti Wellness & Rehab is located in Niles, Illinois a Chicago northern suburb. The overall rating for Avanti Wellness & Rehab is much above average. The facility has 212 certified beds and participates in both Medicare and Medicaid. The ownership of Avanti Wellness & Rehab is a for-profit individual. The facility is not in a continuing care retirement community. Avanti Wellness & Rehab has a family and resident council.

Resident and family councils are important to encourage communications with the nursing home staff. The law requires nursing homes to allow councils to be organized by residents and their families. In a case of a nursing home not having a resident and family council, it would be appropriate for the resident and/or family members to inquire with the nursing home administrator why that is the case. In addition, it may be important to ask to speak with a council president to understand how the nursing home has acted on issues that have arisen in the past.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. One such health inspection was completed on March 25, 2016. Based on observation, interview and record review, the facility failed to prevent the worsening of facility acquired Stage II pressure ulcer for a resident and it failed to implement interventions to address the specific needs of this resident.

On March 22, 2016, this resident was in a small dining room during activities. The resident was noted to be wearing closed shoes. On the next day, the resident was noted sleeping with her head resting on the table. A certified nursing assistant (CNA) described the resident as confused and disoriented, dependent on staff with all of her activities of daily living and incontinent of bowel and bladder.

The Treatment Coordinator of Avanti Wellness & Rehab explained that the resident acquired a Stage II pressure ulcer on her right heel. It was found that the right heel wound was 100% necrotic measuring 1.7 cm x 1.5 cm. The treatment nurse identified this wound as a Stage II ulcer. The wound should have been identified as an unstageable pressure ulcer. The National Pressure Ulcer Advisory Panel identifies unstageable/unclassified pressure ulcers as a full thickness tissue loss in which actual depth of the ulcer is completely obscured by slough in the wound bed. This resident’s plan of care was not individualized based on her needs. The intervention listed included the following: continue with current wound care treatment. Keep skin dry, monitor meals, notify physician and family with any changes in pressure, relieving mattress and chair cushion.

The rating for health inspection was considered average for Avanti Wellness & Rehab. There were six total health deficiencies at this health inspection. There were also two complaint inspections that were held between October 1, 2015 and September 30, 2016.

The overall staffing rating at Avanti Wellness & Rehab is above average. The registered nurse staffing was rated above average as well. The total number of licensed nurse staff hours per resident per day at Avanti Wellness & Rehab is 1 hour and 6 minutes compared to 56 minutes for the Illinois average and 50 minutes for the national average. The LPN hours per resident per day at Avanti Wellness & Rehab was 49 minutes. The Illinois average is 37 minutes and the national average is 51 minutes. The physical therapy staff hours per resident per day at Avanti Wellness & Rehab was 11 minutes. Both the Illinois and national averages for physical therapy staff hours per resident per day is 6 minutes.

29% of Avanti Wellness & Rehab’s short-stay residents made improvements in function. The Illinois average is 60.2% and the national average is 63.3% in this category. 24.8% of Avanti Wellness & Rehab’s short-stay residents were re-hospitalized after a nursing home admission. 63.9% of Avanti Wellness & Rehab’s short-stay residents were successfully discharged to the community. This percentage was both higher than the Illinois average and the national average which were 53.5% and 56.9%, respectively.

Avanti Wellness & Rehab’s long-stay high-risk residents who experienced one or more falls with major injuries was just 1.9%. The Illinois average for long-stay residents experiencing one or more falls with major injuries was 1.4%. 99.1% of Avanti Wellness & Rehab’s long-stay residents who were assessed and given the appropriate seasonal influenza vaccine. This percentage was higher than both the Illinois and the U.S. averages in this category. The same could be said where 100% of Avanti Wellness & Rehab’s long-stay residents were given the pneumococcal vaccine compared to 99.8% in Illinois and 93.4% throughout the U.S.

Avanti Wellness & Rehab has not received any federal fines in the last 3 years. It is possible that Illinois may have imposed a penalty under state law, but none are listed. To search for the Illinois state penalties, there is a separate website that would allow for an independent viewing of any such fines.

1 Vital Statistics
Number of Beds: 212 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 Three Stars 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 Avanti Wellness & Rehab Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
15.5% 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.
79.6% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
76.1% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
1.7% 2.1%
4 Key Long Stay Statistics
Description Avanti Wellness & Rehab Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.2% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
1.0% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.9% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
11.3% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
43.0% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
4.0% 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.
15.6% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
5.1% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
6.7% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
37.2% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
16.0% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
96.3% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
97.9% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
25.4% 18.8%
5 Inspection Summary

Date of standard health inspection: 04/18/2019
Total number of health deficiencies: 18
Average number of health deficiencies in Illinois: 10.6

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