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.