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Symphony of South Shore

Symphony of South Shore has 248 certified beds. Its overall rating is below average. Symphony of South Shore participates in Medicare and Medicaid. The ownership of the facility is a for-profit corporation. Symphony of South Shore is not in a continuing care retirement community. Symphony of South Shore is located in the South Shore neighborhood of Chicago’s southeast side.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. In the reporting of inspections at Symphony of South Shore, there were 2 deficiencies found in quality of care and one in nutrition and dietary.

The most recent full report was made on January 28, 2016. In that survey based on record review and interviews, the facility failed to assess a coccyx pressure sore upon a resident’s admission and to obtain treatment orders for the wound. This applied to 1 of 7 residents reviewed for pressure sores in a sample of 11. The finding included a resident was admitted to the facility from an area hospital. A hospital note dated March 20, 2013 mentioned the resident developing a pressure ulcer and also mentioned the resident having a second developing ulcer. The facility history and physical note dated March 22, 2013 addressed the resident’s mid-coccyx Stage 2 decubitus. The resident’s record documents that the resident was originally admitted to Symphony of South Shore with multiple open pressure sores on the left heel, left knee, left front thigh, and right lower front leg. The admission records to Symphony of South Shore did not note completely the pressure ulcers that were present on the resident’s discharge papers from the transferred hospital.

Obviously, pressure ulcers are extremely dangerous. They represent an opening to the skin that can lead to first cellulitis and then much more serious infectious processes ending in sepsis and septic shock. Overall, nursing homes must be diligent in rotating residents who are infirm. The facility must provide for bedding that is amendable to a resident’s condition. For example, a resident who is diabetic has much worse circulation to the extremities than a person without that disease. In the case of poor circulation or kidney ailments, a resident will experience a greater likelihood of developing pressure ulcers that become very difficult to eradicate. The utmost attention must be paid to these residents with these and similar medical conditions.

The facility’s policy of skin management and pressure ulcer treatment guidelines gives a protocol for treatment/dressings and lists treatments that can be used for Stage 2 pressure ulcers.

The staffing rating for Symphony of South Shore is much below average. The total number of licensed nurse staff hours per resident per day was shown to be 1 and 32 minutes, which basically matches the Illinois and national averages. The Registered Nurse hours per resident per day was just 22 minutes, which is far below the Illinois and national averages of 56 minutes and 51 minutes, respectively. The Licensed Practical Nurse hours per resident per day at Symphony of South Shore is 1 hour and 9 minutes. This is substantially higher than the Illinois average of just 37 minutes. The physical therapy staff hours per resident per day at Symphony of South Shore was 6 minutes, which is exactly the same average shown for Illinois and the U.S.

The overall quality measures at Symphony of South Shore is much above average. 81.5% of short-stay residents were assessed and given the appropriate pneumococcal vaccine. This was on average higher than the Illinois average and the national average. 11.6% of Symphony of South Shore’s short-stay residents had an outpatient emergency department visit. This percentage was equal to or lower than the Illinois average and slightly higher than the national average in this category. 28.5% of short-stay residents were re-hospitalized after being admitted to Symphony of South Shore.

97% of Symphony of South Shore’s long-stay residents were assessed and given the appropriate pneumonia vaccine. This percentage was higher than both the Illinois and national averages. 22.6% of Symphony of South Shore’s long-stay residents who reported that their ability to move independently worsened. This percentage of long-stay residents was higher than the Illinois average of 17.7% and the national average of 19.2%.

Symphony of South Shore having 248 certified beds is housing on average considerably more residents than most Illinois nursing facilities.

Symphony of South Shore has not received any fines in the last 3 years.

1 Vital Statistics
Number of Beds: 248 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

One Star Much Below 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

Two Stars Below 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

One Star Much Below Average
RN Staffing One Star Much Below 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 Symphony Of South Shore Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.0% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.6% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
92.9% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
97.3% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.3% 2.1%
4 Key Long Stay Statistics
Description Symphony Of South Shore Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.4% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
0.0% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.2% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
10.7% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
48.8% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
1.2% 2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.7% 0.3%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
9.7% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
14.0% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
11.0% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
2.5% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
7.3% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
91.4% 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.
11.5% 18.8%
5 Inspection Summary

Date of standard health inspection: 08/30/2018
Total number of health deficiencies: 10
Average number of health deficiencies in Illinois: 10.6

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