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Presence Maryhaven Nursing & Rehab

Presence Maryhaven Nursing & Rehab, 1700 East Lake Avenue, Glenview, Illinois 60025

Presence Maryhaven Nursing & Rehab has an overall rating of above average. It is located in Glenview, Illinois which is a northern suburb to the city of Chicago. The facility is 135 certified beds that participates in both Medicare and Medicaid. The ownership is non-profit church related organization. The facility is not in a Continuing Care Retirement Community. Presence Maryhaven Nursing & Rehab has a resident council only.

Resident and family councils are important to encourage communications with the nursing home staff. The law requires nursing homes to allow councils to be set up by residents and their families. These councils are important for communication between residents, families and loved ones. A resident and family council are able to facilitate answers to questions through the nursing home’s administrators.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. The health inspection rating for Presence Maryhaven Nursing & Rehab is average. The last standard health inspection full report was issued on May 19, 2016. There was a total of eight health deficiencies identified. One health deficiency was in mistreatment, four was in quality care, two was in resident rights and one was in pharmacy services. The average number of health deficiencies in Illinois is 7.8. The average number of health deficiencies in the U.S. is 7.2. There were no complaint inspections between November 1, 2015 and October 31, 2016 reported for Presence Maryhaven Nursing & Rehab. The Illinois Department of Health and Human Services will inspect when notified by a resident or a family member of such complaint warranting a department inspection.

The staffing rating at Presence Maryhaven Nursing & Rehab is average. The registered nurse staffing rating is above average. The total number of licensed nurse staff hours per resident per day at Presence Maryhaven Nursing & Rehab is 1 hour and 17 minutes. The Illinois average is 1 hour and 34 minutes and the U.S. average is 1 hour and 41 minutes in this category. The registered nurse hours per resident per day at Presence Maryhaven Nursing & Rehab is 1 hour and 3 minutes. The Illinois average is 57 minutes. The national hour is 50 minutes. The CNA hours per resident per day at Presence Maryhaven Nursing & Rehab is 1 and 52 minutes. The Illinois average is 2 hours and 16 minutes. The national average is 2 hours and 28 minutes. The LPN/LVN hours per resident per day at Presence Maryhaven Nursing & Rehab is just 13 minutes. The Illinois average is 37 minutes with the national average being 51 minutes in this category. The physical therapy staff hours per resident per day at Presence Maryhaven Nursing & Rehab is nine minutes. The Illinois and national averages are both 6 minutes.

The quality measures rating of Presence Maryhaven Nursing & Rehab is much above average. 61.1% of Presence Maryhaven Nursing & Rehab’s short-stay residents made improvements in function. The Illinois average in this category is 60.2%. The national average of 63.3%. 28.6% of Presence Maryhaven Nursing & Rehab’s short-stay residents were re-hospitalized after a nursing home admission. This percentage was slightly higher than the Illinois average of 24.3% with the U.S. average at 22.6%. 8.6% of Presence Maryhaven Nursing & Rehab’s short-stay residents had an outpatient emergency department visit. The Illinois average was 12.3% with the national average being 12.1%. 59.7% of Presence Maryhaven Nursing & Rehab’s short-stay residents were successfully discharged to the community. The Illinois average is 53.5% in this category. 75.5% of Presence Maryhaven Nursing & Rehab’s short-stay residents were assessed and given the appropriate seasonal influenza vaccine. The Illinois average is 74.6% with the national average being 80%.

3.8% of Presence Maryhaven Nursing & Rehab’s long-stay residents experienced one or more falls with major injury. The national average is 3.3%. 12.2% of Presence Maryhaven Nursing & Rehab’s long-stay high-risk residents developed pressure ulcers compared to just 6.2% for the Illinois average and 5.7% for the national average. 98% of Presence Maryhaven Nursing & Rehab’s long-stay residents were assessed and given the appropriate seasonal influenza vaccine. The Illinois average was lower at 92.8% as was the national average at 94.5%.

Presence Maryhaven Nursing & 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.

1 Vital Statistics
Number of Beds: 135 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

Five Stars Much 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

Four Stars 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

Four Stars Above Average
RN Staffing Five Stars Much Above 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

Five Stars Much Above Average
3 Key Short Stay Statistics
Description Presence Maryhaven Nsg & Rehab Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
3.4% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.7% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
93.4% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
90.9% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.0% 2.1%
4 Key Long Stay Statistics
Description Presence Maryhaven Nsg & Rehab Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
2.0% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
1.6% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.4% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
4.4% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
69.0% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
0.7% 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.
5.2% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
4.9% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
1.0% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
3.2% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
14.3% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
97.6% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
100.0% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
18.3% 18.8%
5 Inspection Summary

Date of standard health inspection: 06/13/2018
Total number of health deficiencies: 5
Average number of health deficiencies in Illinois: 10.6

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