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The Grove of Evanston L&R

The Grove of Evanston L&R has 124 certified beds. Its overall rating is above average. The Grove of Evanston L&R participates in Medicare and Medicaid. Its ownership is a partnership which operates the facility for-profit. The Grove of Evanston L&R is not in a continuing care retirement community. The Grove of Evanston L&R is located in the southern portion of Evanston, just south of Main Street on Asbury Street.

The Illinois Department of Health and Human Services inspects Illinois nursing homes approximately every 18 months. The same Illinois Department of Health and Human Services will respond by conducting inspections should a resident or family member or loved one register a complaint with the department. Such a response to a complaint inspection was held on May 3, 2016.

Based on observation, interview and record review, The Grove of Evanston L&R failed to notify the attending physician to obtain a treatment order for two blisters that were caused by a urinary drainage bag for one resident. This resident had been hospitalized for a time and then was readmitted. The nursing progress note dated April 25, 2016 indicated that two intact blisters were found on the resident’s lower leg. On April 29, 2016, an LPN stated that he found two intact blisters on the resident’s leg while doing the resident’s nephrostomy care. The issue here noted by the Director of Nursing was that any type of skin impairment should be documented and followed up weekly. In this particular resident’s case, he had a burning rash on the low back likely related to tape sensitivity, a blister intact on his left thigh likely related to the drainage bag and a scabbed blister on the left thigh also likely related to the drainage bag.

According to the Nursing Home Care information found on the Medicare.gov website, The Grove of Evanston L&R had a total of 5 health deficiencies when inspected. Two of those deficiencies were in quality care, one was in pharmacy services and two were considered environmental. The average number of health deficiencies in Illinois is 7.7. The average number of health deficiencies in the U.S. is 7.0.

The total number of fire safety deficiencies for The Grove of Evanston L&R was 8. The average number of fire safety deficiencies in Illinois is 6.5 and the national average of 3.3.

The Grove of Evanston L&R is rated average for staffing. It is rated above average for registered nurse staffing. The total number of licensed nurse staff hours per resident per day at The Grove of Evanston L&R was 1 hour and 42 minutes compared to 1 hour and 32 minutes which is the Illinois average and 1 hour and 42 minutes which is the national average. The registered nurse hour per resident per day at The Grove of Evanston L&R was 1 hour and 2 minutes. This was higher than the Illinois average of 56 minutes and the national average of 51 minutes. The certified nursing aide (CNA) hours per resident per day at The Grove of Evanston L&R was 2 hours and 5 minutes which was slightly lower than the Illinois and national averages in this category. The Grove of Evanston L&R for physical therapy staff hours per resident per day was listed at 7 minutes. This was slightly higher than the Illinois and national averages.

Under federal law, all nursing homes, including those in Illinois, are to provide enough staff to adequately and safely care for residents. However, there is no current federal standard for the best nursing home staffing levels. An Illinois nursing home must have at least one registered nurse for at least 8 straight hours a day, 7 days a week and either a registered nurse or a licensed practical nurse/licensed vocational nurse on duty 24 hours per day. Some states, including Illinois, may have additional staffing requirements. Certified nursing assistants should provide care to nursing home residents 24 hours per day, 7 days a week. In the category of physical therapy service hours, that depends on really what the facility’s residents require or how the Illinois nursing home is set up to specialize. The staffing numbers that are listed on the Medicare.gov website for Illinois nursing homes are based on information reported by the nursing home. They represent staffing levels for a 2-week period prior to the time of a state inspection.

75% of The Grove of Evanston L&R’s short-stay residents made improvements in function while a resident there. This percentage was higher than the Illinois average of 60.1% and the national average of 63.3% for the percentage of short-stay residents who made improvements in function. 27.1% of The Grove of Evanston L&R’s short-stay residents were re-hospitalized after a nursing home admission. This percentage was higher than both the Illinois and national averages. The Illinois average for short-stay residents who were re-hospitalized after a nursing home admission was 22.9%. 8.1% of The Grove of Evanston L&R’s short-stay residents had an outpatient emergency department visit compared to 12.1% for Illinois and 11.5% for the U.S. in this category. There were no short-stay residents at The Grove of Evanston L&R who developed pressure ulcers that were new or worsened during a resident’s stay.

1.2% of The Grove of Evanston L&R’s long-stay residents experienced one or more falls with major injury. This was percentage was significantly lower than the Illinois average and national average which were both at 3.3%. The Grove of Evanston L&R’s long-stay residents with urinary tract infections are .4%. The Illinois average and national average were both 4.8% of long-stay residents with urinary tract infections.

13% of The Grove of Evanston L&R’s long-stay high-risk residents developed pressure ulcers during their residency at the facility. This percentage was more than double the Illinois and national averages in this category. 63.4% of The Grove of Evanston L&R’s long-stay low-risk residents were those who lose control of their bowels or bladder. This percentage at The Grove of Evanston L&R was considerably higher than the Illinois average at 42.3% and the national average of 46.6%. 21.6% of

The Grove of Evanston L&R’s long-stay residents were in need of increased help with daily activities compared to 15.7% for Illinois nursing homes on average and 15.4% of the U.S. nursing homes on average in this category. Just 57.3% of The Grove of Evanston L&R’s long-stay residents were assessed and given the appropriate seasonal influenza vaccine. This percentage was much lower than the Illinois and national averages which were both in the 90% range. The same could be said for The Grove of Evanston L&R‘s long-stay residents who were assessed and given the appropriate pneumococcal vaccine which was just 65.5% compared to 91.9% for Illinois nursing homes.

The Grove of Evanston L&R has not received any federal fines in the last 3 years. It is possible that Illinois may have imposed a penalty under state law, but none are listed. To search for the Illinois state penalties, there is a separate website that would allow for an independent viewing of any such fines.

1 Vital Statistics
Number of Beds: 124 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

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

Two Stars Below Average
RN Staffing Two Stars 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

Three Stars Average
3 Key Short Stay Statistics
Description Grove Of Evanston L & R, The 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.
1.4% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
42.0% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
48.7% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
2.1% 2.1%
4 Key Long Stay Statistics
Description Grove Of Evanston L & R, The Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.3% 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.
0.0% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
8.0% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
44.5% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
1.8% 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.
26.2% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
17.8% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
0.3% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
57.9% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
11.0% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
89.2% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
81.4% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
14.2% 18.8%
5 Inspection Summary

Date of standard health inspection: 12/06/2018
Total number of health deficiencies: 6
Average number of health deficiencies in Illinois: 10.6

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