Sheridan Shores Care and Rehab Center

Sheridan Shores Care and Rehab Center has 191 certified beds. The facility participates in Medicare and Medicaid. The ownership of the facility is an individual which operates it as a for-profit business. Sheridan Shores Care and Rehab Center is located just south of the Edgewater neighborhood on Chicago’s north side. It is not in a continuing care retirement community. The overall rating for Sheridan Shores Care and Rehab Center is average.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes. These inspections are conducted approximately every 18 months. The last report of inspection was made for Sheridan Shores Care and Rehab Center in May 2015. Based on interview and record review, the facility failed to have the plan of corrections accessible for the facility’s last annual survey of 2014 in their survey binder to all residents.

On May 28, 2015, on the environmental tour with the maintenance director, the survey binder was observed to be kept on a table on the receptionist’s office desk. Review of the survey binder contained last year’s 2014 annual survey. There was no plan of correction in that binder. The maintenance director was asked to point out where the plan of correction was. The maintenance director of Sheridan Shores Care and Rehab Center was unable to locate the plan of correction. It was stated that the plan of correction is supposed to be kept in the survey binder. The administrator said that she was not sure where the plan of correction was located. The administrator came to the conference room and stated that the plan of correction would be added to the binder.

Based on observation, interview and record review at this inspection, the Sheridan Shores Care and Rehab Center failed to administer medications as ordered at the appropriate times or in the proper dosage. There were 34 opportunities with 3 errors resulting in 8.8% error rate. This failure affected 3 residents. It was found on May 27, 2015 at this inspection that a licensed practical nurse administered oral medications to a resident. The nurse did not administer the 5 mg tablet of the medicine that was scheduled at 9:00 am. On May 27, 2015, the LPN stated in part that the facility doesn’t have any more doses of this resident’s medication. The LPN re-ordered the resident’s medicine on May 27, 2015.

Based on observation, interview and record review at this inspection, the Sheridan Shores Care and Rehab Center failed to hold potentially hazardous foods in the locked-in cooler at a safe temperature and failed to follow their policy and guidelines on dating and labeling refrigerated potentially hazardous foods that were opened. This failure has the potential to cause food borne illness for all of the residents of the facility.

On May 26, 2015, during the initial tour of the kitchen with the Director of Dietary Services, a 5 lb. container of cottage cheese was observed in the walk-in cooler. This cottage cheese was open and half full but not dated with the open date. The Director of Dietary Services stated that the facility is supposed to date everything when a food product is opened. At this time, the temperature of the walk-in cooler was observed to be 56 degrees Fahrenheit. The Director of Dietary Services also checked the temperature of one randomly selected 8 ounce carton of milk from this cooler and it was 52.2 degrees Fahrenheit. There were 4 large whole cooked turkeys that were covered in foil in this locked-in cooler. The cook stated that the turkeys were cooked the previous evening at about 7:00 pm and that the turkeys were for lunch service the next day.

On the same inspection, it was found that the facility failed to remove expired medications from the current medications stock. Lastly, during this inspection, it was found that the nursing home failed to make the open area safe, clean and comfortable for residents, staff and the public. This was a shortcoming of Sheridan Shores Care and Rehab Center. For example, there was a handrail next to an elevator that had end caps that were separated from the body of the cover. There was another observation where a room had a fall mat on the floor next to an unoccupied bed. There were soiled towels on the floor in the bathroom on the second floor. The nursing station counter had broken spots in the laminate. A small hole, approximately one inch, was noted in a ceiling tile above the nursing station. The wall between the resident room and the bath area has a split, approximately 8 inches in the wall covering. There are many other physical defects and hazards that were pointed out.

The overall rating for Sheridan Shores Care and Rehab Center for staffing was below average. The total number of licensed nurse staff hours per resident per day at Sheridan Shores Care and Rehab Center was 1 hour and 3 minutes, which was below the Illinois and national averages. The registered nurse hours per resident per day at Sheridan Shores Care and Rehab Center was substantially below the Illinois and national averages. At Sheridan Shores Care and Rehab Center the total of just 18 minutes for registered nurses per resident per day compares very poorly to the Illinois average of 56 minutes for registered nurse hours and 51 minutes for the national average.

In addition, the Certified Nurse’s Aide hours per resident per day at Sheridan Shores Care and Rehab Center was just 1 hour and 42 minutes. The Illinois average is 2 hours and 15 minutes and the national average is 2 hours and 28 minutes in the same category.

The quality measures for Sheridan Shores Care and Rehab Center is considered much above average. Sheridan Shores Care and Rehab Center’s short-stay residents who were re-hospitalized after a nursing home admission was 26.1%. This was a higher percentage than the Illinois and national averages. 16.3% of Sheridan Shores Care and Rehab Center’s short-stay residents had an outpatient emergency department visit. Again, this percentage is higher than the Illinois average of 12.1% and the national average of 11.5%. 5.4% of Sheridan Shores Care and Rehab Center’s short-stay residents developed pressure sores that were either new or worsened. This was much higher than the Illinois average of 1.6% and the national average of 1.3% in the same category. With respect to Sheridan Shores Care and Rehab Center’s short-stay residents who were assessed and given the appropriate pneumococcal vaccine, it was shown that only 12% of its residents received the vaccine. This was woefully lower than the Illinois average of short-stay residents who received the appropriate pneumococcal vaccine at 77.1% and the national average of 81.1%.

At Sheridan Shores Care and Rehab Center’s long-stay high-risk residents with pressure ulcers was 4.9% as reported. This is lower and considered more favorable than the Illinois and national averages. Just 9.4% of Sheridan Shores Care and Rehab Center’s long-stay residents were shown to have a worsened ability to move independently. That percentage was much more favorable than the Illinois and national averages for the same category. Just 78.1% of Sheridan Shores Care and Rehab Center’s long-stay residents received the appropriate influenza vaccine. That compared poorly to the 92.8% of Illinois nursing home residents on average who received the appropriate vaccine and 94.5% on average for the United States.

Sheridan Shores Care and Rehab Center has not received any fines from the federal government or the state in the last 3 years.

1 Vital Statistics
Number of Beds: 191 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

A rating of 1 to 5 stars based on the health inspection, staffing, and quality measures ratings combined into one. More stars are better.

Three StarsAverage
Health Inspection information

A rating of 1 to 5 stars based on the nursing home’s health inspection results. More stars are better.

Two StarsBelow Average
Staffing information

A rating of 1 to 5 stars based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Certified Nursing Assistants (CNAs). More stars are better.

Two StarsBelow Average
RN Staffing information

A rating of 1 to 5 stars based on the amount of time Registered Nurses (RNs) spend with residents as reported by the nursing home. More stars are better.

Two StarsBelow Average
Quality Measures information

A rating of 1 to 5 stars based on resident assessment data that show how well the nursing home cares for residents’ needs. More stars are better.

Five StarsMuch Above Average
3 Key Short Stay Statistics
DescriptionSheridan Shores Care and Rehab CenterIllinois
Average
Percent of short-stay residents who self-report moderate to severe pain.
Lower percentages are better.
2.0%10.7%
Percent of short-stay residents with pressure ulcers that are new or worsened.
Lower percentages are better.
5.4%1.1%
Percentage of short-stay residents who needed and got a flu shot for the current flu season.
Higher percentages are better.
16.2%73.1%
Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia.
Higher percentages are better.
12.0%75.4%
Percentage of short-stay residents who got antipsychotic medication for the first time.
Lower percentages are better.
NOT AVAILABLE2.3%
4 Key Long Stay Statistics
DescriptionSheridan Shores Care and Rehab CenterIllinois
Average
Percentage of long-stay residents experiencing one or more falls with major injury.
Lower percentages are better.
2.3%3.4%
Percentage of long-stay residents with a urinary tract infection.
Lower percentages are better.
0.4%3.5%
Percentage of long-stay residents who self-report moderate to severe pain.
Lower percentages are better.
0.5%4.0%
Percentage of long-stay high-risk residents with pressure ulcers.
Lower percentages are better.
4.9%5.8%
Percentage of long-stay low-risk residents who lose control of their bowels or bladder.
Lower percentages are better.
9.6%45.0%
Percentage of long-stay residents who have/had a catheter inserted and left in their bladder.
Lower percentages are better.
0.5%2.1%
Percentage of long-stay residents who were physically restrained..
Lower percentages are better.
0.0%0.4%
Percentage of long-stay residents whose ability to move independently worsened.
Lower percentages are better.
9.4%17.1%
Percentage of long-stay residents whose need for help with daily activities has increased.
Lower percentages are better.
8.9%14.1%
Percentage of long-stay residents who lose too much weight.
Lower percentages are better.
0.0%7.8%
Percentage of long-stay residents who have symptoms of depression.
Lower percentages are better.
0.4%18.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication..
Lower percentages are better.
12.3%21.5%
Percentage of long-stay residents who needed and got a flu shot for the current flu season.
Higher percentages are better.
78.1%92.8%
Percentage of long-stay residents assessed and given, appropriately, the pneumococcal vaccine.
Higher percentages are better.
59.7%90.8%
Percentage of long-stay residents who received an antipsychotic medication.
Lower percentages are better.
62.5%19.3%
5 Inspection Summary

Date of standard health inspection: 05/28/2015
Total number of health deficiencies: 8
Average number of health deficiencies in Illinois: 9.2

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