General Information: BERKELEY NURSING & REHAB CENTER
Nursing home name BERKELEY NURSING & REHAB CENTER
Address6909 WEST NORTH AVENUE
OAK PARK, IL 60302
Phone number (708) 386-1112
Located within a hospital No
Type of ownership For profit - Individual
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 72
Total number of residents 61
Perc of occupied beds 85
Sprinkler status Yes
Last health survey date 03/21/2013
Fire survey date: 03/20/2013
Ratings Summary: BERKELEY NURSING & REHAB CENTER
Overall rating 1
1
Nursing Home Staffing 1
1
Registered Nurses only 2
2
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: BERKELEY NURSING & REHAB CENTER
National AverageBERKELEY NURSING & REHAB CENTER
Overall staff rating Not Available. 1
1
Registered Nurses only rating Not Available 2
2
Total Number of Residents 88.1 61.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.08 hours
Registered Nurses Hours per Residents per Day 29.0 hours .38 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .70 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .38 hours
Health Inpections: BERKELEY NURSING & REHAB CENTER
Inspection Results: 03/21/2013
CorrectedCategoryDeficiencySeverity
03/29/2013Nutrition and Dietary DeficienciesMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. F
04/12/2013Pharmacy Service DeficienciesEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
03/22/2013Resident Rights DeficienciesAllow residents to easily view the results of the nursing home's most recent inspection. C
03/22/2013Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges. C
04/03/2013Resident Rights DeficienciesLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. D
Inspection Results: 05/17/2012
CorrectedCategoryDeficiencySeverity
06/04/2012Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
06/04/2012Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
05/31/2012Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
06/04/2012Pharmacy Service DeficienciesKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
05/31/2012Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
06/04/2012Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
05/18/2012Administration DeficienciesEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. D
06/04/2012Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E
Inspection Results: 04/14/2011
CorrectedCategoryDeficiencySeverity
04/18/2011Nutrition and Dietary DeficienciesMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. D
04/14/2011Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
05/05/2011Quality Care DeficienciesDevelop policies and procedures for influenza and pneumococcal immunizations. D
05/05/2011Quality Care DeficienciesGive 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. D
05/03/2011Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
05/03/2011Resident Assessment DeficienciesAllow residents the right to participate in the planning or revision of care and treatment. E
05/04/2011Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
04/29/2011Mistreatment DeficienciesDevelop 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. E
04/28/2011Resident Rights DeficienciesTry to resolve each resident's complaints quickly. E
04/28/2011Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. D

Fire Safety Inpections: BERKELEY NURSING & REHAB CENTER
Inspection Results: 03/20/2013
CorrectedCategoryDeficiencySeverity
Electrical DeficienciesProperly installed electrical wiring and equipment. D
Building Service Equipment DeficienciesProperly constructed linen or trash chutes. E
Building Service Equipment DeficienciesRestrictions on the use of portable space heaters. E
Building Service Equipment DeficienciesProperly protected cooking facilities. E
Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. F
Fire Alarm Systems DeficienciesProperly maintained smoke detectors. F
Fire Alarm Systems DeficienciesA fire alarm system that can be heard throughout the facility. E
Illumination and Emergency Power DeficienciesEmergency lighting that can last at least 1 1/2 hours. E
Exits and Egress DeficienciesExits that are accessible at all times. E
Corridor Walls and Doors DeficienciesCorridor and hallway doors that block smoke. E
Inspection Results: 05/24/2012
CorrectedCategoryDeficiencySeverity
06/15/2012Fire Alarm Systems DeficienciesA fire alarm system that can be heard throughout the facility. F
05/25/2012Automatic Sprinkler Systems DeficienciesBack-up procedures in place for a faulty automatic sprinkler system. C
06/22/2012Electrical DeficienciesWeekly inspections and monthly testing of generators. F
06/15/2012Medical Gases and Anesthetizing Areas DeficienciesProper medical gas storage and administration areas. E
06/15/2012Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. E
06/12/2012Fire Alarm Systems DeficienciesProperly maintained smoke detectors. D
05/25/2012Fire Alarm Systems DeficienciesAn approved back-up procedure for a faulty fire alarm system. C
05/31/2012Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. C
05/25/2012Emergency Plans and Fire Drills DeficienciesA written emergency evacuation plan. C
06/15/2012Illumination and Emergency Power DeficienciesEmergency lighting that can last at least 1 1/2 hours. F
06/15/2012Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. E
06/07/2012Building Construction DeficienciesApproved construction type or materials. E
06/15/2012Interior Finish DeficienciesFire resistant room wall surfaces. E
06/04/2012Corridor Walls and Doors DeficienciesCorridor and hallway doors that block smoke. E
Inspection Results: 05/04/2011
CorrectedCategoryDeficiencySeverity
05/09/2011Electrical DeficienciesProperly installed electrical wiring and equipment. E
05/13/2011Building Service Equipment DeficienciesProperly constructed linen or trash chutes. E
05/13/2011Smoking Regulations DeficienciesPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. E
06/30/2011Automatic Sprinkler Systems DeficienciesAn approved automatic sprinkler system connected to the fire alarm system. F
05/17/2011Illumination and Emergency Power DeficienciesProperly located and lighted "Exit" signs. E
05/12/2011Exits and Egress DeficienciesExits that are accessible at all times. E
05/17/2011Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. E
05/18/2011Smoke Compartmentation and Control DeficienciesSmoke barrier doors that can resist smoke for at least 20 minutes. E
05/27/2011Corridor Walls and Doors DeficienciesCorridors that are separated from use areas by walls constructed to limit the passage of smoke. F

Resident Complaints: BERKELEY NURSING & REHAB CENTER
Date Complaint Substantiated: 03/21/2013
CorrectedCategoryDeficiencySeverity
04/12/2013Pharmacy Service DeficienciesEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
Date Complaint Substantiated: 11/09/2012
CorrectedCategoryDeficiencySeverity
12/03/2012Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
12/03/2012Pharmacy Service DeficienciesEnsure that residents are safe from serious medication errors. D
12/03/2012Nutrition and Dietary DeficienciesStore F
12/03/2012Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
12/03/2012Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
12/03/2012Resident Rights DeficienciesImmediately tell the resident D
Date Complaint Substantiated: 09/06/2012
CorrectedCategoryDeficiencySeverity
09/25/2012Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
Date Complaint Substantiated: 04/05/2012
CorrectedCategoryDeficiencySeverity
04/16/2012Resident Rights DeficienciesImmediately tell the resident D
Date Complaint Substantiated: 08/30/2011
CorrectedCategoryDeficiencySeverity
09/20/2011Administration DeficienciesKeep accurate D
09/20/2011Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. D
09/20/2011Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention D
09/20/2011Resident Rights DeficienciesImmediately tell the resident D
Date Complaint Substantiated: 04/14/2011
CorrectedCategoryDeficiencySeverity
05/03/2011Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
Date Complaint Substantiated: 11/12/2010
CorrectedCategoryDeficiencySeverity
12/03/2010Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. G
Date Complaint Substantiated: 09/22/2010
CorrectedCategoryDeficiencySeverity
10/15/2010Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. D
Date Complaint Substantiated: 05/06/2010
CorrectedCategoryDeficiencySeverity
05/27/2010Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
05/26/2010Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. D

Quality Measures: BERKELEY NURSING & REHAB CENTER
Quality MeasuresNational AverageBERKELEY NURSING & REHAB CENTER
Overall quality rating Not Available 3
3
Long-Stay Residents
Percent of long-stay residents who self-report moderate to severe pain. 22% 21%
Percent of long-stay residents with a urinary tract infection. 16% 4.2000000000000002%
Percent of long-stay residents who received an antipsychotic medication. 31% 20%
Percent of long-stay residents who have depressive symptoms. 16% 2.6000000000000001%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 1.7%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 83.700000000000003%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 73.599999999999994%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 9.1999999999999993%
Percent of long-stay high-risk residents with pressure ulcers. 19% 21.600000000000001%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 21.800000000000001%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 4.7999999999999998%
Percent of long-stay residents who lose too much weight. 16% 14.4%
Percent of long-stay residents who were physically restrained. 11% 0.59999999999999998%
Short-Stay Residents
Percent of short-stay residents who newly received an antipsychotic medication. 27% 0%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 44.899999999999999%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 74.5%
Percent of short-stay residents who self-report moderate to severe pain. 36% 22.600000000000001%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 1.7%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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