Fairmont Care Centre
Fairmont Care Centre has 186 certified beds. It is located in the north Mayfair neighborhood of Chicago’s northwest side. The facility participates in Medicare and Medicaid. The ownership is a corporation that operates the facility for-profit. Fairmont Care Centre is not in a continuing care retirement community. Its overall rating is much above average.
The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. A full report was submitted by the department of an inspection of Fairmont Care Centre on September 17, 2015. According to this report, there were 6 health deficiencies which is below the average report of health deficiencies in Illinois. The U.S. average is 7 for a similar nursing home facility.
Based on interview and record review, Fairmont Care Centre failed to notify a physician regarding a change in the character of urine for 1 of 3 residents reviewed for urinary catheters in a sample of 24. On September 15, 2015, a registered nurse stated that a resident has an indwelling urinary catheter because of a medical condition. The resident was found lying in bed with the indwelling urinary catheter tubing positioned between the resident’s leg and looped around the right foot. The urinary collection bag had a small amount of dark tea colored union. There were red streaks in a portion of the catheter tubing. The nursing home resident stated, “I feel like I have to pee. I’m having pressure down there. It’s painful.”
The Registered Nurse confirmed that she was the resident’s nurse. She said that the doctor was aware of the color of the dark teak looking urine. The doctor discontinued medication because there was blood in the urine of the resident.
Based on interview and record review, Fairmont Care Centre failed to ensure that staff had full knowledge of the facility’s abuse prohibition protocol. This failure has the potential to affect all 139 residents. The Nursing Supervisor stated that if a Certified Nursing Assistant (CNA) was accused of abuse, the Nursing Supervisor would allow the accused CNA to finish the shift instead of immediately removing the alleged accused from the facility. The Nursing Supervisor added that she was concerned for the safety of the CNA so she would not send the CNA home. On September 16, 2015, the CNA interviewed could only name one type of abuse and had to view her flashcards in order to name 2 more. When asked what would happen if accused of abuse, the CNA was not able to indicate what would happen during an investigation or if there would be an investigation.
The overall rating for Fairmont Care Centre for staffing is considered above average. Compared to the Illinois average nursing home size, Fairmont Care Centre has 139 residents whereas the Illinois average nursing home has just 92.1 nursing home residents. The total number of licensed nurse staff hours per resident per day at Fairmont Care Centre is 1 hour and 43 minutes. This matches the Illinois and national averages in this category. As to Registered Nurse hours per resident per day, Fairmont Care Centre averages 1 hour and 7 minutes. This is slightly higher than the Illinois and national averages. LPN hours per resident per day at Fairmont Care Centre is 36 minutes. This nearly matches the Illinois average and is below the national average, which is 51 minutes per resident per day.
With respect to CNA hours per resident per day at Fairmont Care Centre, it shows 2 hours and 41 minutes compared to 2 hours and 15 minutes, which is the Illinois average. Physical therapy hours per resident per day at Fairmont Care Centre is 8 minutes. This is slightly higher than the Illinois and national averages for physical therapy staff hours.
The quality measures rating at Fairmont Care Centre is much above average. 33.6% of short-stay residents made improvements in function. This percentage is much lower than the Illinois and national averages for residents who made improvements in function. The percentage of short-stay residents at Fairmont Care Centre who were re-hospitalized after a nursing home admission was 24%. 10% of Fairmont Care Centre short-stay residents had an outpatient emergency department visit. That percentage of residents visiting an emergency department was just about average compared to Illinois and on the national level. 50.7% of Fairmont Care Centre’s short-stay residents were successfully discharged to the community. Again, this nearly is equal to the percentage of short-stay residents who were successfully discharged to the community compared to other Illinois nursing homes and other nursing homes nationally.
Fairmont Care Centre reported that 98% of its long-stay residents were assessed and given the appropriate pneumococcal vaccine. This was higher than the Illinois and national averages for this category. The percentage of long-stay residents at Fairmont Care Centre whose need for help with daily activities was just 6.8%. That percentage was much less than the Illinois and national averages, which were 15.6% and 15.3%, respectively.
Fairmont Care Centre has not received any fines from the federal government or Illinois in the last 3 years.