Manor Care Health ServicesWheaton

Total Number of Beds: 102	Percent of Occupied Beds: 74%
Total Number of Residents: 75	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 05/06/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.67

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.25

Number of CNA Hours per Nursing Home Resident per Day: 2.44

Number of Staff Hours per Nursing Home Resident per Day: 4.36

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 15%
Percent of High-Risk Residents Who Have Pressure Sores: 15%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 20%
Percent of Residents Who Have Moderate to Severe Pain: 5%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 0%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 8%
Percent of Residents Who are More Depressed or Anxious: 23%
Percent of Short-Stay Residents With Delirium: 0%
Percent of Residents Who Were Physically Restrained: 6%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 55%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 3%
Percent of Residents With a Urinary Tract Infection: 11%
** Details Last Reported on: 5/6/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-03-30	2001-08-06	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	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
2001-03-30	2001-05-20	Resident Rights Deficiencies	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Pattern	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Resident Rights Deficiencies	Provide proof that all residents' personal money which is deposited with the nursing home, is secure.	Widespread	Potential for minimal harm
2001-03-30	2001-05-20	Resident Rights Deficiencies	Bill properly: Charged resident for items that Medicare or Medicaid pays for.	Pattern	Potential for minimal harm
2001-03-30	2001-05-20	Resident Rights Deficiencies	Let each resident choose a personal doctor.	Pattern	Potential for minimal harm
2001-03-30	2001-05-20	Resident Rights Deficiencies	Try to resolve each resident's complaints quickly.	Widespread	Potential for minimal harm
2001-03-30	2001-05-20	Resident Rights Deficiencies	Let residents talk to and get information from agencies acting on their behalf.	Widespread	Potential for minimal harm
2001-03-30	2001-05-20	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	Isolated	Actual harm
2001-03-30	2001-05-20	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
2001-03-30	2001-08-06	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Widespread	Potential for minimal harm
2001-03-30	2001-05-20	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Widespread	Potential for minimal harm
2001-03-30	2001-05-20	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
2001-03-30	2001-05-20	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2001-03-30	2001-05-20	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Actual harm
2001-03-30	2001-05-20	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Isolated	Actual harm
2001-03-30	2001-05-20	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	Isolated	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	Pattern	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Administration Deficiencies	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	Pattern	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Administration Deficiencies	Have licensed, certified, or registered staff to give needed services.	Pattern	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Administration Deficiencies	Quickly tell the resident's doctor the results of lab tests.	Pattern	Minimal harm or potential for actual harm
2001-03-30	2001-05-20	Administration Deficiencies	Give or get x-rays and other tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
2002-04-26	2002-09-04	Resident Rights Deficiencies	Send and promptly deliver unopened mail to residents.	Pattern	Potential for minimal harm
2002-04-26	2002-06-16	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2002-04-26	0000-00-00	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Widespread	Potential for minimal harm
2002-04-26	2002-09-04	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	Minimal harm or potential for actual harm
2002-04-26	2002-09-04	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2002-04-26	2002-09-04	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
2002-04-26	2002-06-16	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2002-04-26	2002-06-16	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
2002-04-26	2002-06-16	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	Isolated	Minimal harm or potential for actual harm
2002-04-26	2002-06-16	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Potential for minimal harm
2002-04-26	2002-06-16	Environmental Deficiencies	Have enough outside airflow.	Widespread	Potential for minimal harm
2003-05-06	2003-08-05	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Actual harm
2003-05-06	2003-06-26	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Potential for minimal harm
2003-05-06	2003-08-05	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2003-05-06	2003-08-05	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2003-05-06	2003-06-26	Resident Assessment Deficiencies	Develop a plan with the resident and family for the resident's care after leaving the nursing home.	Isolated	Minimal harm or potential for actual harm
2003-05-06	2003-08-05	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
2003-05-06	2003-06-26	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2003-05-06	2003-06-26	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Pattern	Minimal harm or potential for actual harm
2003-05-06	2003-06-26	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
2003-05-06	2003-08-05	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	Pattern	Potential for minimal harm
2003-05-06	2003-06-26	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2003-05-06	2003-06-26	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.