Continental Nursing & Rehab Center
Continental Nursing & Rehab Center is located in the North Center neighborhood of Chicago’s northwest side. The facility has 208 certified beds and participates in both Medicare and Medicaid. The ownership of Continental Nursing & Rehab Center is a for-profit corporation. The overall rating for Continental Nursing & Rehab Center is average.
The Illinois Department of Health and Human Services regularly inspects nursing homes. These inspections usually take place approximately every 18 months. It can also take place on notification of a complaint. In July of 2015, an inspection was held at Continental Nursing & Rehab Center. Based on observation, interviews and record review, the facility failed to follow its wound care policy, failed to identify individualized preventative measures, reassess and revise interventions for a shoulder wound and failed to revise and update the care plan for one resident with a left scapular wound of three residents reviewed for wounds in a sample of 4 residents.
On June 24, 2015, a resident was observed in bed lying on his back. The resident was able to turn himself to the right side with his right arm while in bed. After the resident turned onto his right side, it was noted that he was lying on top of a linen incontinent pad and that the top ridge of the pad was even with the dressing on the resident’s left shoulder. The resident’s left upper back was noted to have reddened wrinkle indentations on and around the area across the resident’s upper back. The incontinent pad was on top of a fitted sheet on the air mattress. The resident was noted not to be able to move the left side of his body and stated that he has been that way since he was born.
There was not supposed to be an incontinent pad on the resident’s bed. The facility must have forgotten to take it out was the remark by a staff member. The resident’s left scapular wound was visualized at the time and was noted to be a full thickness circular wound with scant slough in the wound bed with well-defined edges located at the base of the shoulder blade. The staff member interviewed stated that it started out as a skin tear. It was classified as a skin tear. It is a non-healing wound. The staff member also stated that when the wound did not heal, a referral was made to the wound care physician. The health inspection rating for Continental Nursing & Rehab Center was stated as average.
With respect to the rating for staffing, Continental Nursing & Rehab Center was found to be below average. The total number of licensed nurse staff hours per resident per day was 1 hour and 4 minutes. The registered nurse hours per resident per day was 58 minutes compared to 57 minutes which is the Illinois average and 51 minutes which is the national average. The licensed practical nurse hours per resident per day at Continental Nursing & Rehab Center was found to be 27 minutes compared to 37 minutes and 51 minutes for the Illinois and national averages.
Certified nurse aide hours per resident per day was 1 hour and 31 minutes at Continental Nursing & Rehab Center. The Illinois average is 2 hours and 16 minutes and the national average is 2 hours and 28 minutes. As to physically therapy, staff hours per resident per day, Continental Nursing & Rehab Center was at 5 minutes whereas the Illinois average and national averages are both 6 minutes per day. Continental Nursing & Rehab Center is considered average in quality measures. 31.7% of Continental Nursing & Rehab Center’s residents of the short-stay variety were re-hospitalized after a nursing home admission. This compared poorly to the Illinois percentage of 22.9% and a national average of 21.1%. The percentage of short-stay residents who were successfully discharged to the community was 27.4% which was considerably lower than the 45.8% for Illinois and the 50% average for the nation.
Continental Nursing & Rehab Center scored very well with respect to the percentage of long-stay residents with urinary tract infections at just .4%. This percentage is much better than the Illinois and national averages. 4.2% of Continental Nursing & Rehab Center’s long-stay high-risk residents with pressure ulcers was marked at 4.2% which was lower than the Illinois and national averages. On the other hand, Continental Nursing & Rehab Center did worse than the Illinois and national averages in terms of the percentage of long-stay residents whose ability to move independently worsened. Continental Nursing & Rehab Center was reported to have 22.7% of its residents worsening as to ability to move independently. The percentage of long-stay residents assessed and given, appropriately, the seasonal flu vaccine was 72.5%. That rating was well below the Illinois average of 92.8% of nursing home residents and 94.5% residents of the nation’s residents who received appropriately the seasonal influenza vaccine.
Continental Nursing & Rehab Center received no federal fines in the last 3 years.