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 84
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints20
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
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 AverageIllinois AverageBERKELEY NURSING & REHAB CENTER
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 61
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.78 hours 2.55 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.53 hours 1.08 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.92 hours 0.38 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.61 hours 0.7 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.24 hours 1.46 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.1 hours 0.09 hours
Health Survey: BERKELEY NURSING & REHAB CENTER
Heath Survey Summary on 2013-03-21
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-17
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-04-14
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: BERKELEY NURSING & REHAB CENTER
Inspection Results: 03/21/2013
Corrected Deficiency Scope and Severity
04/03/2013 Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated/Minimal harm or potential for actual harm
03/22/2013 Give residents a notice of rights, rules, services and charges. Widespread/Potential for minimal harm
03/22/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
04/12/2013 Ensure 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. Isolated/Minimal harm or potential for actual harm
03/29/2013 Make 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. Widespread /Minimal harm or potential for actual harm
Inspection Results: 05/17/2012
Corrected Deficiency Scope and Severity
06/04/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
05/31/2012 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
06/04/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
06/04/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
06/04/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
05/18/2012 Employ 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. Isolated/Minimal harm or potential for actual harm
06/04/2012 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
05/31/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
Inspection Results: 04/14/2011
Corrected Deficiency Scope and Severity
05/04/2011 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
05/03/2011 Allow residents the right to participate in the planning or revision of care and treatment. Pattern/Minimal harm or potential for actual harm
04/28/2011 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
04/28/2011 Try to resolve each resident's complaints quickly. Pattern/Minimal harm or potential for actual harm
04/29/2011 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. Pattern/Minimal harm or potential for actual harm
05/03/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
05/05/2011 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
05/05/2011 Develop policies and procedures for influenza and pneumococcal immunizations. Isolated/Minimal harm or potential for actual harm
04/18/2011 Make 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. Isolated/Minimal harm or potential for actual harm
04/14/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm

Fire Safety Survey: BERKELEY NURSING & REHAB CENTER
Fire Safety Survey Summary on 2013-03-20
Total Number of Fire SafetyDeficiencies 9
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-05-24
Total Number of Fire SafetyDeficiencies 14
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-05-04
Total Number of Fire SafetyDeficiencies 9
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: BERKELEY NURSING & REHAB CENTER
Fire Safety Survey Results: 03/20/2013
Corrected Deficiency Severity
04/15/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
03/22/2013 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
03/25/2013 Emergency lighting that can last at least 1 1/2 hours. Pattern/Minimal harm or potential for actual harm
04/15/2013 A fire alarm system that can be heard throughout the facility. Pattern/Minimal harm or potential for actual harm
04/15/2013 Properly maintained smoke detectors. Widespread /Minimal harm or potential for actual harm
04/05/2013 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
04/05/2013 Properly protected cooking facilities. Pattern/Minimal harm or potential for actual harm
03/22/2013 Restrictions on the use of portable space heaters. Pattern/Minimal harm or potential for actual harm
03/22/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/24/2012
Corrected Deficiency Severity
06/15/2012 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
05/25/2012 Back-up procedures in place for a faulty automatic sprinkler system. Widespread/Potential for minimal harm
06/22/2012 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
06/15/2012 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
06/15/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
06/12/2012 Properly maintained smoke detectors. Isolated/Minimal harm or potential for actual harm
05/25/2012 An approved back-up procedure for a faulty fire alarm system. Widespread/Potential for minimal harm
05/31/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
05/25/2012 A written emergency evacuation plan. Widespread/Potential for minimal harm
06/15/2012 Emergency lighting that can last at least 1 1/2 hours. Widespread /Minimal harm or potential for actual harm
06/15/2012 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
06/07/2012 Approved construction type or materials. Pattern/Minimal harm or potential for actual harm
06/15/2012 Fire resistant room wall surfaces. Pattern/Minimal harm or potential for actual harm
06/04/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/04/2011
Corrected Deficiency Severity
05/27/2011 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Widespread /Minimal harm or potential for actual harm
05/18/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
05/17/2011 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
05/12/2011 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
05/17/2011 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
06/30/2011 An approved automatic sprinkler system connected to the fire alarm system. Widespread /Minimal harm or potential for actual harm
05/13/2011 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
05/13/2011 Properly constructed linen or trash chutes. Pattern/Minimal harm or potential for actual harm
05/09/2011 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm

Resident Complaints: BERKELEY NURSING & REHAB CENTER
Date Complaint Substantiated: 03/06/2014
CorrectedCategoryDeficiencySeverity
03/10/2014Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 11/12/2013
CorrectedCategoryDeficiencySeverity
11/30/2013Ensure 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. D
11/30/2013Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Date Complaint Substantiated: 10/17/2013
CorrectedCategoryDeficiencySeverity
10/31/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 06/06/2013
CorrectedCategoryDeficiencySeverity
06/26/2013Ensure 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. D
Date Complaint Substantiated: 11/09/2012
CorrectedCategoryDeficiencySeverity
12/03/2012Store, cook, and serve food in a safe and clean way. F
12/03/2012Ensure that residents are safe from serious medication errors. D
12/03/2012Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
12/03/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
12/03/2012Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
12/03/2012Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 09/06/2012
CorrectedCategoryDeficiencySeverity
09/25/2012Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
Date Complaint Substantiated: 04/05/2012
CorrectedCategoryDeficiencySeverity
04/16/2012Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Date Complaint Substantiated: 08/30/2011
CorrectedCategoryDeficiencySeverity
09/20/2011Develop 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. D
09/20/2011Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
09/20/2011Ensure services provided by the nursing facility meet professional standards of quality. D
09/20/2011Keep accurate, complete and organized clinical records on each resident that meet professional standards. D

Quality Measures: BERKELEY NURSING & REHAB CENTER
Quality Measures National Average Illinois Average BERKELEY NURSING & REHAB CENTER
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.8% 19.6%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 6.8% 15.7%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.6% 14.3%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.6% 6.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 36.2% 21.0%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.7% 3.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 2.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 11.4% 13.5%
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% 0.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 91.5% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.4% 78.9%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 24.6% 34.7%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 46.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 1.7%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 80.4% 98.4%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 80.0% 63.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 0.0%

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