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Courtyard Heatlhcare Center
3601 SOUTH HARLEM AVENUE
Berwyn, IL 60402
(708) 749-4160
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 145 |
| Number of Residents: | 90 |
| Percent of Occupied Beds: | 62% |
| Sprinkler Status: | Partially Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Individual |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071116 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20071201 |
| 20071116 | Health | Pharmacy Service Deficiencies | Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm | 20071201 |
| 20071116 | Health | Resident Assessment Deficiencies | Make sure that doctors visit residents regularly, as required. | Isolated | Minimal harm or potential for actual harm | 20071201 |
| 20071116 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20071201 |
| 20080314 | Health | Administration Deficiencies | 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. | Widespread | Immediate jeopardy to resident health or safety | 20080610 |
| 20080314 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Widespread | Potential for minimal harm | 20080627 |
| 20080314 | Health | Administration Deficiencies | post nurse staffing information. | Widespread | Potential for minimal harm | 20080627 |
| 20080314 | Health | Quality Care Deficiencies | Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Isolated | Actual harm | 20080627 |
| 20080314 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Actual harm | 20080610 |
| 20080314 | Health | Resident Rights Deficiencies | Let each resident choose a personal doctor. | Pattern | Minimal harm or potential for actual harm | 20080610 |
| 20080613 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm | 20080627 |
| 20080731 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Immediate jeopardy to resident health or safety | 20080827 |
| 20080731 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20080827 |
| 20090630 | Health | Quality Care Deficiencies | Give the right treatment and services to residents who have mental or social problems adjusting. | Isolated | Minimal harm or potential for actual harm | 20090724 |
| 20091207 | Health | Nutrition and Dietary Deficiencies | Hire a qualified dietician. | Pattern | Minimal harm or potential for actual harm | 20100108 |
| 20091207 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20091222 |
| 20100504 | Health | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Isolated | Minimal harm or potential for actual harm | 20100527 |
| 20100504 | Health | Administration Deficiencies | post nurse staffing information. | Widespread | Potential for minimal harm | 20100530 |
| 20101015 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Minimal harm or potential for actual harm | 20101105 |
| 20101015 | Health | Resident Rights Deficiencies | Let the resident or the resident's representative look at all records. | Pattern | Minimal harm or potential for actual harm | 20101026 |
| 20101015 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Isolated | Minimal harm or potential for actual harm | 20101105 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 30 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 16 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 14 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 30 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 11 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 29 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 4 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 13 | |
| Percent of long-stay residents who had a urinary tract infection: | 9 | |
| Percent of long-stay residents who lose too much weight: | 8 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 21 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 13 | |
| Percent of short-stay residents who have delirium: | 3 | |
| Percent of short-stay residents who had moderate to severe pain: | 3 | |
| Percent of short-stay residents who have pressure sores: | 17 | |
| # of Residents: | 90 |
| # RN Hours per Resident: | 0.46 |
| # LPN Hours per Resident: | 0.94 |
| # CNA Hours per Resident: | 1.85 |
| Total Staff Hours per Resident: | 1.4 |
