General Information: APPLEWOOD REHABILITATION CENTER
Nursing home name APPLEWOOD REHABILITATION CENTER
Address21020 KOSTNER AVENUE
MATTESON, IL 60443
Phone number (708) 747-1300
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 115
Total number of residents 107
Perc of occupied beds 93
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints11
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: APPLEWOOD REHABILITATION CENTER
Overall rating 2
2
Nursing Home Staffing 2
2
Registered Nurses only 3
3
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: APPLEWOOD REHABILITATION CENTER
National AverageIllinois AverageAPPLEWOOD REHABILITATION CENTER
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 107
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.78 hours 2.95 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.53 hours 1.04 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.92 hours 0.6 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.61 hours 0.43 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.24 hours 1.91 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.11 hours
Health Survey: APPLEWOOD REHABILITATION CENTER
Heath Survey Summary on 2013-06-21
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-18
Total Number of Health Deficiencies 27
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2011-07-01
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: APPLEWOOD REHABILITATION CENTER
Inspection Results: 06/21/2013
Corrected Deficiency Scope and Severity
07/03/2013 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
07/03/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
07/03/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
07/03/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
Inspection Results: 05/18/2012
Corrected Deficiency Scope and Severity
06/13/2012 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern/Minimal harm or potential for actual harm
06/13/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
06/13/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
06/13/2012 Have enough backup water supply for essential areas of the nursing home. Widespread/Potential for minimal harm
08/07/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
06/13/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Widespread/Potential for minimal harm
06/13/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
06/13/2012 Make sure that special or therapeutic diets are ordered by the attending doctor. Pattern/Minimal harm or potential for actual harm
06/13/2012 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern/Minimal harm or potential for actual harm
06/13/2012 Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern/Minimal harm or potential for actual harm
06/13/2012 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
06/13/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
06/13/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
06/13/2012 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/Minimal harm or potential for actual harm
06/13/2012 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern/Potential for minimal harm
06/13/2012 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
06/13/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern/Minimal harm or potential for actual harm
06/13/2012 Upon the death of a resident, convey the residents personal funds and an accounting of those funds to the appropriate party. Pattern/Potential for minimal harm
06/13/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Actual harm
06/13/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
06/13/2012 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern/Minimal harm or potential for actual harm
06/13/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
06/13/2012 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated/Minimal harm or potential for actual harm
06/13/2012 1) Hire only people with 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
06/13/2012 Provide residents with private access to a telephone. Widespread/Potential for minimal harm
06/13/2012 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
06/13/2012 Try to resolve each resident's complaints quickly. Pattern/Minimal harm or potential for actual harm
Inspection Results: 07/01/2011
Corrected Deficiency Scope and Severity
07/26/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
07/26/2011 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern/Minimal harm or potential for actual harm
07/26/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
07/26/2011 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/Minimal harm or potential for actual harm
07/26/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
07/27/2011 Dispose of garbage and refuse properly. Widespread /Minimal harm or potential for actual harm
07/26/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: APPLEWOOD REHABILITATION CENTER
Fire Safety Survey Summary on 2013-07-02
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-05-09
Total Number of Fire SafetyDeficiencies 12
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-07-15
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: APPLEWOOD REHABILITATION CENTER
Fire Safety Survey Results: 07/02/2013
Corrected Deficiency Severity
07/05/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
07/18/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
07/12/2013 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
07/12/2013 Properly maintained smoke detectors. Pattern/Minimal harm or potential for actual harm
07/16/2013 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
07/08/2013 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
07/08/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/09/2012
Corrected Deficiency Severity
06/01/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Widespread /Minimal harm or potential for actual harm
06/01/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
06/13/2012 Protected exits that allow the resident to escape the building. Pattern/Minimal harm or potential for actual harm
05/09/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
06/13/2012 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Pattern/Minimal harm or potential for actual harm
06/01/2012 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
06/13/2012 A written emergency evacuation plan. Widespread/Potential for minimal harm
06/01/2012 Properly maintained smoke detectors. Pattern/Minimal harm or potential for actual harm
05/14/2012 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
06/13/2012 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Pattern/Minimal harm or potential for actual harm
06/13/2012 Properly protected cooking facilities. Pattern/Minimal harm or potential for actual harm
06/13/2012 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm

Resident Complaints: APPLEWOOD REHABILITATION CENTER
Date Complaint Substantiated: 12/13/2013
CorrectedCategoryDeficiencySeverity
12/31/2013Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
12/31/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
12/31/2013Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. D
Date Complaint Substantiated: 08/12/2013
CorrectedCategoryDeficiencySeverity
08/21/2013Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. E
Date Complaint Substantiated: 11/20/2012
CorrectedCategoryDeficiencySeverity
12/07/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
12/07/2012Ensure services provided by the nursing facility meet professional standards of quality. D
Date Complaint Substantiated: 05/02/2012
CorrectedCategoryDeficiencySeverity
05/04/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
05/04/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D

Quality Measures: APPLEWOOD REHABILITATION CENTER
Quality Measures National Average Illinois Average APPLEWOOD REHABILITATION CENTER
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.8% 10.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 6.8% 1.8%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.6% 5.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.6% 10.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 36.2% 64.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.7% 5.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 6.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 11.4% 0.8%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.4% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.2% 2.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 91.5% 99.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.4% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 24.6% 21.9%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 15.1%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 80.4% 94.6%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 80.0% 95.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 2.8%

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