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Pershing Garden Healthcare Center

Pershing Garden Healthcare Center has 51 certified beds and participates in Medicare and Medicaid. The facility is not a continuing care retirement community. The ownership of Pershing Garden Healthcare Center is a for-profit corporation. Pershing Garden Healthcare Center is located in the near south suburban community to Chicago of Stickney, Illinois. It is just miles to the southwest of Chicago’s city limits off of Illinois Interstate 55 or the Stevenson Expressway. Stickney is located just to the southwest of Cicero, Illinois. The overall rating of Pershing Garden Healthcare Center is above average.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average approximately every 18 months. One of these inspections was done of Pershing Garden Healthcare Center that was completed on February 26, 2016.

Based on observation, record review and interview, Pershing Garden Healthcare Center failed to provide psychosocial therapy to one resident in a sample of twelve residents. This particular resident was using antidepressant medication. The nursing home’s assessment dated July 21, 2015 confirmed this resident for psychosocial treatment. The resident was identified with a disease and condition that may impede abilities to interact with others and health factors that may inhibit social involvement. The care plan dated April 7, 2015 noted that this resident required psychosocial therapy related to alcohol abuse.

The resident was to begin psychosocial therapy once approved by a physician. Once approval was obtained, social services was to be set up for psychosocial therapy. The consent for this therapy was signed by the resident and a physician. However, the administrator stated that the resident did not attend the psychosocial therapy. There was no note that the resident ever attended any of the psychosocial therapy sessions that were held on Saturdays.

In another issue with Pershing Garden Healthcare Center, it was found in this inspection that the facility failed to follow its policy on kitchen sanitation. The kitchen supervisor was observed grinding pork while wearing long dangling earrings. The kitchen supervisor was also wearing a diamond wedding band while stirring the ground meat. Her hands were not gloved. Another dietary aide had long hair hanging from underneath the hairnet. Further, the dietary aide was preparing lunch for residents with a dirty apron.

With respect to staffing, Pershing Garden Healthcare Center has an above average rating. The total number of licensed nurse staff hours per resident per day at the Pershing Garden Healthcare Center was 1 hour and 52 minutes compared to 1 hour and 33 minutes which is the Illinois average and the national average is 1 hour and 42 minutes. The registered nurse hours per resident per day at Pershing Garden Healthcare Center is reported to be 1 hour and 2 minutes, whereas the Illinois average is 57 minutes and the national average is 51 minutes.

Physical therapy staff hours per resident per day at Pershing Garden Healthcare Center is 10 minutes. This is above the Illinois average of 6 minutes per resident per day in this category.

As to quality measures, Pershing Garden Healthcare Center was rated average. The percentage of short-stay residents at Pershing Garden Healthcare Center who made improvements in function was 76.8% of its residents. This compared very favorably to the Illinois and national averages in this category. 28.6% of Pershing Garden Healthcare Center’s short-stay were re-hospitalized after a nursing home admission. This percentage was higher than the Illinois and national averages in this category. 11.4% of Pershing Garden Healthcare Center’s short-stay residents had an outpatient emergency department visit compared to 12.1% and 11.5% for the Illinois and national averages, respectively.

There were no reports of Pershing Garden Healthcare Center’s long-stay residents who experienced one or more falls with major injury. Pershing Garden Healthcare Center’s long-stay residents who developed pressure ulcers were listed at 12.2% of its residents. This is nearly double the Illinois average and more than double the national average in this category. 98.2% of Pershing Garden Healthcare Center’s long-stay residents were assessed and given the appropriate influenza vaccine. This percentage was higher than the Illinois and national averages for this category.

Pershing Garden Healthcare Center did not receive any federal fines in the last three years.

1 Vital Statistics
Number of Beds: 51 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

Four Stars Above 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

Five Stars Much Above 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

Three Stars 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

One Star Much Below Average
3 Key Short Stay Statistics
Description Pershing Gardens Healthcare Center Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
12.9% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.1% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
75.0% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
67.9% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
6.0% 2.1%
4 Key Long Stay Statistics
Description Pershing Gardens Healthcare Center Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.0% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
2.9% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.1% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
10.6% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
64.9% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
5.2% 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.
19.0% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
17.4% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
1.5% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
67.5% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
27.5% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
90.7% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
93.6% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
16.7% 18.8%
5 Inspection Summary

Date of standard health inspection: 02/28/2019
Total number of health deficiencies: 2
Average number of health deficiencies in Illinois: 10.6

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