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Elston Nursing & Rehab Centre
Elston Nursing & Rehab Centre, 4340 N. Keystone, Chicago, IL 60641
Elston Nursing & Rehab Centre has 117 certified beds. The facility participates in Medicaid and Medicare. The ownership of Elston Nursing & Rehab Centre is a for-profit partnership. The facility is not in a continuing care retirement community. Elston Nursing & Rehab Centre is located near the Albany Park neighborhood on Chicago’s northwest side. The overall rating for Elston Nursing & Rehab Centre is average.
The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on the average of every 18 months. One of these inspections occurred at Elston Nursing & Rehab Centre where a full report was filed on November 13, 2015. Based on observation, interview and record review, the facility failed to ensure the facility’s labeling policy was followed for 1 resident in a sample of 21 residents reviewed and 5 supplemental residents reviewed for labeling. On the refrigerator in the second floor medication room, insulin vials were opened with no dates on each. A Registered Nurse stated “yes” when asked when insulin vials for these residents should have had opened dates clearly apparent. The Director of Nursing presented the facility’s policy on vials of injectable medications. The facility’s policy documents the date opened and the initial of the first person to use the vial are recorded on multidose vials on the date opened label on the vial itself.
The Registered Nurse staffing rating at Elston Nursing & Rehab Centre was rated much above average. The total number of licensed nurse staff hours per resident per day was 2 hours and 13 minutes which was well above the Illinois and national averages. The Registered Nurse hours per resident per day was 1 hour and 11 minutes compared to 56 minutes for the Illinois average and 51 minutes for the national average. The Licensed Practical Nurse hours per resident per day was 1 hour and 2 minutes compared to just 37 minutes for the Illinois average and 51 minutes for the national average. Certified Nursing Assistants hours per resident per day was 2 hours and 43 minutes at Elston Nursing & Rehab Centre. This was higher than both the Illinois and national averages for this category. However, as to physical therapy hours per resident per day, Elston Nursing & Rehab Centre scored just 3 minutes. This was half as much as the Illinois and national averages which were both 6 minutes per resident per day for physical therapy.
In terms of quality measures, Elston Nursing & Rehab Centre scored below average. Just 50.5% of Elston Nursing & Rehab Centre short-stay residents made improvement with function whereas the Illinois average was 60.6% and the national average was 63.6%. 23.5% of Elston Nursing & Rehab Centre short-stay residents were re-hospitalized after a nursing home admission. This was slightly higher than the Illinois and national averages for this category. 11.4% of Elston Nursing & Rehab Centre short-stay residents had an outpatient emergency department visit compared to 12.1% for the Illinois average and 11.5% for the national average.
4.8% of Elston Nursing & Rehab Centre long-stay residents experienced one or more falls with major injury. This percentage of residents at Elston Nursing & Rehab Centre was higher than the Illinois and national averages which were both 3.3%. 15.6% of Elston Nursing & Rehab Centre long-stay residents had their ability to move independently worsened. That percentage at Elston Nursing & Rehab Centre was lower than the Illinois and national averages. 99.1% of Elston Nursing & Rehab Centre long-stay residents were assessed and given the appropriate seasonal influenza vaccine. That percentage was higher than both the Illinois and national averages. Likewise, in terms of giving the appropriate vaccine for pneumococcal, Elston Nursing & Rehab Centre scored at 95.2% of its long-stay residents. This was higher than the Illinois and national averages in this category.
Elston Nursing & Rehab Centre was not fined by the state or federal government in the last 3 years for any penalties or violations.
1 Vital Statistics
Number of Beds: 117 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 |  | Above 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 | | Above 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 |  | Below Average |
| RN Staffing |  | 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 | | Below Average |
3 Key Short Stay Statistics
| Description | Elston Nursing & Rehab Centre | Illinois Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. | 6.2% | 10.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. | 1.6% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 22.6% | 72.8% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 15.5% | 74.7% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. | 3.2% | 2.1% |
4 Key Long Stay Statistics
| Description | Elston Nursing & Rehab Centre | Illinois Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. | 2.9% | 3.3% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. | 1.8% | 3.1% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. | 4.3% | 4.9% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. | 15.7% | 7.6% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. | 34.1% | 46.1% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. | 5.4% | 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. | 21.2% | 16.5% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. | 11.2% | 13.8% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. | 6.2% | 6.3% |
| Percent of long-stay residents who have depressive symptoms Lower percentages are better. | 36.3% | 19.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better. | 8.7% | 20.2% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 77.3% | 92.9% |
| Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 59.2% | 89.7% |
| Percent of long-stay residents who received an antipsychotic medication Lower percentages are better. | 18.0% | 18.8% |
5 Inspection Summary
Date of standard health inspection: 11/09/2018
Total number of health deficiencies: 6
Average number of health deficiencies in Illinois: 10.6
