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St. Paul’s House & Health Care Center

St. Paul’s House & Health Care Center has 110 certified beds. The facility is located between the Irving Park and the North Center neighborhoods of Chicago’s northwest side. The facility participates in Medicare and Medicaid. The ownership of St. Paul’s House & Health Care Center is a corporation that operates as a non-profit business. The overall rating for St. Paul’s House & Health Care Center is average.

The Illinois Department of Health and Human Services regularly conducts inspections of Illinois nursing homes approximately every 18 months. In August 2015, St. Paul’s House & Health Care Center was inspected by the department. Based on observation, interview and record review, the facility failed to assist residents to eat in a timely, dignified manner and failed to knock and await response prior to entering a resident’s room. These deficiencies have the potential to affect 2 of 14 residents reviewed for privacy and dignity.

On August 19, 2015, in the second floor dining room, a certified nursing assistant was seated next to a resident who had completely finished her meal. Another resident was also at this table, with her meal uncovered and untouched in front of her. The certified nursing assistant stated that she was unable to assist the other resident until she was finished assisting the other resident. The CNA began to assist the resident at approximately 20 minutes later. The CNA stated that this resident requires extensive assistance by at least one staff member to eat.

On August 19, 2015, a resident was seated at a table in the second floor dining room along with 3 table mates. All of these residents had been served their meals and were eating except for one. One resident who needed assistance remained at the table with her meal in front of her but was unable to eat it without help. The physician order of record showed that this resident has memory problems. The resident’s nutrition care plan includes the intervention to feed at meal times as needed.

On August 17, 2015, during the same inspection, a tour was conducted accompanied by a registered nurse. The RN entered a resident’s room without knocking and waiting to be invited to enter. The registered nurse was asked if the facility had a policy for knocking on resident’s doors and waiting to be invited in before entering. The nurse stated that “I should be knocking and asking if I should come in.” A review of the policy titled “Resident Privacy and Dignity Policy,” indicates in part, a resident has a right to privacy in their home. Staff must knock and ask for permission to enter a resident’s room.

Based on observation, interview and record review, the facility failed to ensure razors, chemicals and oxygen tanks were kept out of residents’ reach. The facility also failed to ensure a chair alarm was attached properly to a resident’s clothing. This has the potential to affect residents in the sample.

On August 18, 2015, the director of nursing at St. Paul’s House stated chemicals should be kept out of residents’ reach and oxygen tanks should be stored in the oxygen supply closet for resident safety. Nurses and CNAs are responsible to ensure chair alarms are attached to a resident’s clothing and are functional. Oxygen tanks brought in by hospice agencies should also be stored in the oxygen storage closet and be labeled with the resident’s name, along with a sign not to remove them, as they are the property of the hospice agency. The report found that the facility failed to contain oxygen supplies in a sanitary manner and to label normal saline and sterile water used with respiratory equipment with the date opened. It was also found that the facility failed to properly store and serve food under sanitary conditions.

With respect to staffing at St. Paul’s House & Health Care Center, there was no available data.

The overall quality measures rating for St. Paul’s House & Health Care Center is average. 47.3% of short-stay residents who made improvements in function was lower than the Illinois and national averages. 31.2% of St. Paul’s House & Health Care Center short-stay residents were re-hospitalized after a nursing home admission. That percentage is higher than the Illinois average of 22.9% and the national average of 21.1%. St. Paul’s House & Health Care Center short-stay residents had an outpatient emergency department visit at a rate of just 8%. That percentage of residents needing emergency hospital services is below the state and nation averages.

St. Paul’s House & Health Care Center percentage of long-stay residents experiencing one more falls with major injury was only .7%. This is considerably lower than the Illinois and national averages. The percentage of long-stay residents whose ability to move independently worsened was at 15% at St. Paul’s House & Health Care Center. The Illinois average is 17.7% and the national average is 18.2%. Just 12.2% of St. Paul’s House & Health Care Center long-stay residents required help with daily activities. That percentage was lower than the Illinois and national averages. St. Paul’s House & Health Care Center did very well in giving its long-stay residents the appropriate pneumococcal vaccine. It scored at 99.3% which was nearly perfect. This was above the Illinois state and national averages.

There have been no federal fines assessed against St. Paul’s House & Health Care Center for the last 3 years.

1 Vital Statistics
Number of Beds: 110 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

Three Stars 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

Four Stars Above Average
3 Key Short Stay Statistics
Description St Paul's House & Hlth Cr Ctr Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
3.2% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.3% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
85.3% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
93.7% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.6% 2.1%
4 Key Long Stay Statistics
Description St Paul's House & Hlth Cr Ctr Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
1.4% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
1.9% 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.
6.3% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
53.6% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
6.0% 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.
5.5% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
4.6% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
7.0% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
2.6% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
17.6% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
100.0% 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.
26.5% 18.8%
5 Inspection Summary

Date of standard health inspection: 08/24/2018
Total number of health deficiencies: 3
Average number of health deficiencies in Illinois: 10.6

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