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Schwab Rehabilitation Center

Schwab Rehabilitation Center has 30 certified beds. It participates in Medicare only. It is not in a continuing care retirement community. Schwab Rehabilitation Center’s ownership is nonprofit. The facility is located south of the Gage Park neighborhood of Chicago’s southwest side. The overall rating for Schwab Rehabilitation Center is average.

The Illinois Department of Health and Human Services typically inspects Illinois nursing homes every 18 months. It also receives complaints from residents and family members on a regular basis. For the fiscal year June 1, 2015 through May 31, 2016, there were no complaint inspections filed. There were however a number of health deficiencies reported.

In April of 2015, there was an inspection at Schwab Rehabilitation Center that showed based on observation, interview and record review that it failed to check gastrostomy tube placement and residual volume prior to giving gastrostomy tube medications. This affected one resident in a sample.

The facility failed to meet professional standards of quality administration of medicine for this resident. The Director of Nursing explained that Schwab Rehabilitation Center does not really have a policy on gastrostomy tube medication administration. The Director of Nurse stated we don’t check for placement anymore. We don’t check for residual; we don’t have a specific policy. The Director of Nursing stated that Schwab Rehabilitation Center has a general policy on medication administration which did not address the issue.

It was also noted at this Illinois Department of Health and Human Services inspection that a resident had noticeable foul odor and his lips, both upper and lower, were cracked with flakes of skin loosely attached. The resident had bad breath and poor oral hygiene. The resident stated that the staff has only brushed his teeth 2-3 times since he has been there. The resident stated that in part that he could brush his teeth with a set up but this has not happened with any regularity. The resident’s care plan that was generated in the month before this inspection did not identify oral care as an area of concern. The Director of Nursing stated that all residents are given assistance with oral care or totally assisted on a daily basis.

In addition, this inspection of Schwab Rehabilitation Center showed that the facility failed to ensure chemicals in maintenance carts were kept out of reach of residents and that it failed to secure oxygen tanks. This has the potential to affect residents. Canisters containing 150 count each of cleaning/disinfectant wipes with bleach were seen in the resident bathrooms in several rooms. In addition, these cleaning wipe canisters were also found in an unlocked storage room and in the bathrooms or showers used by the residents. The facility also failed to label nasal cannulas, sterile water used in oxygen therapy, suction canisters and tubing with the date for when they were opened.

In terms of staffing, Schwab Rehabilitation Center was rated much above average. For example, the total number of licensed nurse staff hours per resident per day was marked at 4 hours and 13 minutes. This rating is considerably higher than the Illinois and national averages for hours per day per resident. The same could be said for registered nurse’s hours per resident per day which was 3 hours and 13 minutes compared to 56 minutes for Illinois and 51 minutes on the national average. As to CNAs hours per resident per day, Schwab Rehabilitation Center scored high again in that it matched the Illinois and national averages at 2 hours and 14 minutes.

With respect to physical therapy, Schwab Rehabilitation Center has no comparable facility. It provides 43 minutes of physical therapy staff hours per resident per day. That is many times higher than the Illinois average of 6 minutes and the national average which is the same. Apparently, Schwab Rehabilitation Center is very focused on physical therapy for its residents.

Schwab Rehabilitation Center rates above average for quality measures. For short-stay residents who made improvements in function, Schwab Rehabilitation Center scored slightly lower than the Illinois and national averages. As to short-stay residents who were re-hospitalized after a nursing admission, Schwab Rehabilitation Center residents would be returning at the rate of 23.9% which is slightly higher than the Illinois and national averages. On the other hand, only 7.7% of Schwab Rehabilitation Center’s short-stay resident had an outpatient emergency department visit. That rate was lower than the Illinois and national averages. It was reported that 57.8% of Schwab Rehabilitation Center’s short-stay residents were successfully discharged to the community. That compares favorably to the Illinois average of 51.5% and the national average of 54.9%.

Schwab Rehabilitation Center shows that 99.4% of its short-stay residents were given the appropriate seasonal influenza vaccine. At the same time, 96.5% of its short-stay resident received the appropriate pneumococcal vaccine.

According to the data available for Schwab Rehabilitation Center, most, if not all of its residents are short-stay as opposed to long-stay residents. There is no available data for long-stay residents at this facility.

Over the last three years, Schwab Rehabilitation Center has not received any federal or state fines.

1 Vital Statistics
Number of Beds: 30 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicareinformation

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

Five Stars Much 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 Schwab Rehabilitation Ctr Snu Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
46.2% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.5% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
61.4% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
91.5% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.8% 2.1%
4 Key Long Stay Statistics
Description Schwab Rehabilitation Ctr Snu Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
Not Available% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
Not Available% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
Not Available% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
Not Available% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
Not Available% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
Not Available% 2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
Not Available% 0.3%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
Not Available% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
Not Available% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
Not Available% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
Not Available% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
Not Available% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
Not Available% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
Not Available% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
Not Available% 18.8%
5 Inspection Summary

Date of standard health inspection: 04/06/2018
Total number of health deficiencies: 3
Average number of health deficiencies in Illinois: 10.6

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