The Admiral at the Lake
The Admiral at the Lake has 36 certified beds. The Admiral at the Lake is a nonprofit nursing home that is located in Chicago, Illinois. The facility accepts neither Medicare nor Medicaid. The overall rating for The Admiral at the Lake is rated much above average.
The Illinois Department of Health and Human Services routinely inspects Illinois nursing homes at least every 18 months. One such inspection was done at The Admiral at the Lake in January 2016. Based on observation, interview and record review, the facility failed to administer medications as ordered. There were 27 opportunities to review residents receiving medication with 2 errors resulting in a 7.4% error rate. This applied to 2 residents in the supplemental sample out of 10 residents observed during the medication pass.
On January 20, 2016, a registered nurse dispensed the following medications for a resident in the sample. One tablet of medication, one capsule of another medication and two capsules of a third. In addition, they were dispensing their vitamins and aspirin for a total of 8 medications that were sprinkled or crushed on ice cream. There were missed medications for one resident. The Director of Nursing stated in part that in-services were given to the nurses about the missed medications and about eye drop medication administration. The family and the physician were informed. The facility received an order to administer the medication on January 20, 2016. The nurses have to give the medications on time and educate the residents about administering their medications.
Based on observation, interview and record review, The Admiral at the Lake failed to ensure proper labeling and storing of food items, failed to implement its policy and procedure regarding handwashing and failed to implement mechanisms to maintain the residents receiving foods from the facility dietary service.
Based on observation, interview and record review, the facility failed to have a policy to address the availability, distribution and utilization of emergency water for resident care. This has the potential to affect all of the residents at The Admiral at the Lake.
With respect to the important area of staffing, The Admiral at the Lake rated much above average. For example, the number of registered nurses per resident per day at The Admiral at the Lake was shown to be 2 hours and 38 minutes. This is substantially higher than the Illinois average of 56 minutes and the U.S. average of 51 minutes. In fact, the total number of licensed nurse staff hours per resident per day at The Admiral at the Lake was substantial at 3 hours and 27 minutes. This is much higher than the Illinois and national averages. The CNA hours per resident per day at The Admiral at the Lake was 49 minutes compared to 37 minutes, which is the Illinois average and 51 minutes, which is the U.S. average.
In terms of physical therapy staff hours per resident per day, The Admiral at the Lake performed 5 minutes of care per resident per day, whereas the Illinois and national averages were both 6 minutes per resident per day.
The quality measures were rated much above average at The Admiral at the Lake. 72% of The Admiral at the Lake short-stay residents made improvements in function during their stay there. This compares favorably to the Illinois and national averages. 15.3% of The Admiral at the Lake short-stay residents had an outpatient emergency department visit. This was in line with both the Illinois and U.S. averages. Only .4% of The Admiral at the Lake residents developed pressure ulcers that were either new or worsened for short-stay residents. This compared favorably again to the statewide average and the national average. 95.5% of the short-stay residents at the facility were assessed and given the appropriate pneumococcal vaccine. Again, this compared higher on average than both the Illinois and national averages.
During the period of inspection, there were no long-stay residents at The Admiral at the Lake who experienced one or more falls with major injuries. Only 2.7% of long-stay high-risk residents with pressure ulcers were found at The Admiral at the Lake. 100% of The Admiral at the Lake long-stay residents were assessed and given, appropriately, the seasonal influenza vaccine. Again, this category of quality measures found The Admiral at the Lake to be much above average for these reasons.
This nursing home facility, The Admiral at the Lake, has not received any fines in the last 3 years.