All Faith Pavilion

3500 SOUTH GILES AVENUE
Chicago, IL 60653
(312) 326-2000
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 231
Number of Residents: 176
Percent of Occupied Beds: 76%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 1 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 1 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080307 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20080623
20080307 Health Pharmacy Service Deficiencies 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. Isolated Minimal harm or potential for actual harm 20080512
20080317 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20080528
20080317 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20080512
20080512 Health Administration Deficiencies Follow all laws and professional standards. Isolated Minimal harm or potential for actual harm 20080528
20080512 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20080528
20080618 Health Nutrition and Dietary Deficiencies Offer other nutritional food to each resident who will not eat the food served. Widespread Potential for minimal harm 20080623
20080618 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Isolated Immediate jeopardy to resident health or safety 20080709
20080618 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 20080709
20080826 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Immediate jeopardy to resident health or safety 20081126
20080826 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Minimal harm or potential for actual harm 20081106
20081106 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20081126
20081106 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Actual harm 20081125
20081120 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20081126
20081120 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20081201
20081120 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Minimal harm or potential for actual harm 20081122
20090129 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 20090206
20090320 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20090414
20090320 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20090414
20090320 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090414
20090320 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Actual harm 20090619
20090421 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20090504
20090421 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Actual harm 20090504
20090528 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Minimal harm or potential for actual harm 20090619
20090717 Health Mistreatment Deficiencies Keep each resident free from physical restraints, unless needed for medical treatment. Isolated Minimal harm or potential for actual harm 20090803
20091117 Health Resident Rights Deficiencies Have a private telephone available for use. Isolated Minimal harm or potential for actual harm 20091207
20100707 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Minimal harm or potential for actual harm 20100812
20100707 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20100813
20100909 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm 20100910
20100923 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Minimal harm or potential for actual harm 20100927
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 75
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 1
Percent of long-stay residents whose need for help with daily activities has increased: 7
Percent of long-stay residents who have moderate to severe pain: 3
Percent of high-risk long-stay residents who have pressure sores: 22
Percent of low-risk long-stay residents who have pressure sores: 1
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 9
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 19
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 3
Percent of long-stay residents who spend most of their time in bed or in a chair: 0
Percent of long-stay residents whose ability to move about in and around their room got worse: 6
Percent of long-stay residents who had a urinary tract infection: 3
Percent of long-stay residents who lose too much weight: 4
Percent of short-stay residents given influenza vaccination during the flu season: 78
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 1
Percent of short-stay residents who have delirium: 9
Percent of short-stay residents who had moderate to severe pain: 12
Percent of short-stay residents who have pressure sores: 14
# of Residents: 176
# RN Hours per Resident: 0.24
# LPN Hours per Resident: 0.65
# CNA Hours per Resident: 1.18
Total Staff Hours per Resident: 0.89