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BERWYN REHABILITATION CENTER

  • Name: BERWYN REHABILITATION CENTER
  • Address: 3601 SOUTH HARLEM AVENUE
  • City: BERWYN
  • State: IL
  • Zip: 60402
  • Phone Number: 7087494160
  • Ownership type:For profit - Corporation
  • Number of beds:145
  • Number of Residents:96
  • Notes:

Inspections:

  • Issue:Immediately tell the resident Detected / Reported on:2008-07-31
  • Scope of issue: doctor
  • Correction Date:2008-08-27
  • Issue:Let each resident choose a personal doctor. Detected / Reported on:2008-03-14
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Provide services to meet the needs and preferences of each resident. Detected / Reported on:2005-12-01
  • Scope of issue:Pattern
  • Correction Date:2005-12-05
  • Issue:Provide needed housekeeping and maintenance. Detected / Reported on:2007-02-09
  • Scope of issue:Pattern
  • Correction Date:2007-04-10
  • Issue:1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team Detected / Reported on:2008-03-14
  • Scope of issue: including the primary nurse
  • Correction Date:2008-06-10
  • Issue:Give professional services that meet a professional standard of quality. Detected / Reported on:2005-10-26
  • Scope of issue:Isolated
  • Correction Date:2006-01-05
  • Issue:Give each resident care and services to get or keep the highest quality of life possible. Detected / Reported on:2006-05-16
  • Scope of issue:Isolated
  • Correction Date:2006-06-20
  • Issue:Give each resident care and services to get or keep the highest quality of life possible. Detected / Reported on:2005-10-26
  • Scope of issue:Isolated
  • Correction Date:2005-10-31
  • Issue:Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia Detected / Reported on:2008-03-14
  • Scope of issue: diarrhea
  • Correction Date:2008-06-27
  • Issue:Make sure that the nursing home area is free of dangers that cause accidents. Detected / Reported on:2007-11-16
  • Scope of issue:Isolated
  • Correction Date:2007-12-01
  • Issue:Make sure that the nursing home area is free of dangers that cause accidents. Detected / Reported on:2008-07-31
  • Scope of issue:Isolated
  • Correction Date:2008-08-27
  • Issue:Make sure that each resident's nutritional needs were met. Detected / Reported on:2008-03-14
  • Scope of issue:Isolated
  • Correction Date:2008-06-10
  • Issue:Make sure that residents are safe from serious medication errors. Detected / Reported on:2007-11-16
  • Scope of issue:Isolated
  • Correction Date:2007-12-01
  • Issue:post nurse staffing information. Detected / Reported on:2008-03-14
  • Scope of issue:Widespread
  • Correction Date:2008-06-27
  • Issue:Make sure that doctors visit residents regularly Detected / Reported on:2007-11-16
  • Scope of issue: as required.
  • Correction Date:2007-12-01
  • Issue:Properly mark drugs and other similar products. Detected / Reported on:2008-06-13
  • Scope of issue:Isolated
  • Correction Date:2008-06-27
  • Issue:Have a program to keep infection from spreading. Detected / Reported on:2007-11-16
  • Scope of issue:Isolated
  • Correction Date:2007-12-01
  • Issue:Have a program to keep infection from spreading. Detected / Reported on:2006-02-21
  • Scope of issue:Widespread
  • Correction Date:2006-03-15
  • Issue:Be administered in a way that leads to the highest possible level of well being for each resident. Detected / Reported on:2006-02-21
  • Scope of issue:Widespread
  • Correction Date:2006-03-15
  • Issue:1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. Detected / Reported on:2008-03-14
  • Scope of issue:Widespread
  • Correction Date:2008-06-10
  • Issue:Keep accurate and appropriate medical records. Detected / Reported on:2008-03-14
  • Scope of issue:Widespread
  • Correction Date:2008-06-27
  • Issue:Provide care in a way that keeps or builds each resident's dignity and self respect. Detected / Reported on:2006-05-25
  • Scope of issue:Isolated
  • Correction Date:2006-05-29
  • Issue:Give professional services that meet a professional standard of quality. Detected / Reported on:2006-05-25
  • Scope of issue:Isolated
  • Correction Date:2006-05-26
  • Issue:Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Detected / Reported on:2006-05-25
  • Scope of issue:Isolated
  • Correction Date:2006-06-20
  • Issue:Make sure that the nursing home area is free of dangers that cause accidents. Detected / Reported on:2006-05-25
  • Scope of issue:Isolated
  • Correction Date:2006-06-20
  • Issue:Keep the rate of medication errors (wrong drug Detected / Reported on:2006-05-25
  • Scope of issue: wrong dose
  • Correction Date:2006-06-20
  • Issue:Make sure that residents are safe from serious medication errors. Detected / Reported on:2006-05-25
  • Scope of issue:Isolated
  • Correction Date:2006-06-20
  • Issue:Make sure that residents are well nourished. Detected / Reported on:2006-05-25
  • Scope of issue:Widespread
  • Correction Date:2006-05-26
  • Issue:Prepare food that is nutritional Detected / Reported on:2006-05-25
  • Scope of issue: appetizing
  • Correction Date:2006-06-02
  • Issue:Offer other nutritional food to each resident who will not eat the food served. Detected / Reported on:2006-05-25
  • Scope of issue:Widespread
  • Correction Date:2006-06-07
  • Issue:Store Detected / Reported on:2006-05-25
  • Scope of issue: cook
  • Correction Date:2006-06-20
  • Issue:Make sure that staff members wash their hands when needed. Detected / Reported on:2006-05-25
  • Scope of issue:Pattern
  • Correction Date:2006-06-20
  • Issue:an automatic smoke detection system in all hallways. Detected / Reported on:2006-05-25
  • Scope of issue:Widespread
  • Correction Date:2006-06-19
  • Issue:walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. Detected / Reported on:2007-04-12
  • Scope of issue:Pattern
  • Correction Date:2007-04-30
  • Issue:exits that are accessible at all times. Detected / Reported on:2007-04-12
  • Scope of issue:Isolated
  • Correction Date:2007-05-04
  • Issue:properly maintained smoke detectors. Detected / Reported on:2007-04-12
  • Scope of issue:Pattern
  • Correction Date:2007-04-26
  • Issue:weekly inspections and monthly testing of generators. Detected / Reported on:2007-04-12
  • Scope of issue:Widespread
  • Correction Date:2007-08-10
  • Issue: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 Detected / Reported on:2007-04-13
  • Scope of issue: along with the names and addresses of State groups that can help.
  • Correction Date:2007-05-11
  • Issue:Immediately tell the resident Detected / Reported on:2007-04-13
  • Scope of issue: doctor
  • Correction Date:2007-05-11
  • Issue:Keep each resident's personal and medical records private and confidential. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Allow residents to easily see the results of the nursing home's most recent survey. Detected / Reported on:2007-04-13
  • Scope of issue:Widespread
  • Correction Date:2007-04-30
  • Issue:Provide care in a way that keeps or builds each resident's dignity and self respect. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Provide services to meet the needs and preferences of each resident. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Provide needed housekeeping and maintenance. Detected / Reported on:2007-04-13
  • Scope of issue:Widespread
  • Correction Date:2007-05-04
  • Issue:Assess the resident when the resident enters the nursing home Detected / Reported on:2007-04-13
  • Scope of issue: in a timely manner.
  • Correction Date:2007-05-11
  • Issue:Check and update (if needed) each resident's assessment every 3 months. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Develop a complete care plan that meets all of a resident's needs Detected / Reported on:2007-04-13
  • Scope of issue: with timetables and actions that can be measured.
  • Correction Date:2007-05-11
  • Issue:Give professional services that meet a professional standard of quality. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Give each resident care and services to get or keep the highest quality of life possible. Detected / Reported on:2007-04-13
  • Scope of issue:Pattern
  • Correction Date:2007-05-11
  • Issue:Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Make sure that the nursing home area is free of dangers that cause accidents. Detected / Reported on:2007-04-13
  • Scope of issue:Pattern
  • Correction Date:2007-05-11
  • Issue:post nurse staffing information. Detected / Reported on:2007-04-13
  • Scope of issue:Widespread
  • Correction Date:2007-05-04
  • Issue:Have drugs and other similar products available Detected / Reported on:2007-04-13
  • Scope of issue: which are needed every day and in emergencies
  • Correction Date:2007-05-11
  • Issue:Have a program to keep infection from spreading. Detected / Reported on:2007-04-13
  • Scope of issue:Pattern
  • Correction Date:2007-05-11
  • Issue:Keep a resident apart from the others if the resident has an infection that can spread. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Make sure that staff members wash their hands when needed. Detected / Reported on:2007-04-13
  • Scope of issue:Isolated
  • Correction Date:2007-05-11
  • Issue:Move Detected / Reported on:2007-04-13
  • Scope of issue: clean and store sheets
  • Correction Date:2007-05-11
  • Issue:Keep all essential equipment working safely. Detected / Reported on:2007-04-13
  • Scope of issue:Widespread
  • Correction Date:2007-04-30
  • Issue:Make sure that a working call system is available in each resident's room or bathroom and bathing area. Detected / Reported on:2007-04-13
  • Scope of issue:Pattern
  • Correction Date:2007-05-04
  • Issue:Choose a doctor to be the medical director. Detected / Reported on:2007-04-13
  • Scope of issue:Widespread
  • Correction Date:2007-05-11
  • Issue:Set up or keep a group of people to review and ensure quality. Detected / Reported on:2007-04-13
  • Scope of issue:Widespread
  • Correction Date:2007-04-30
  • Issue:Immediately tell the resident Detected / Reported on:2008-03-21
  • Scope of issue: doctor
  • Correction Date:2008-06-10
  • Issue:Keep each resident free from physical restraints Detected / Reported on:2008-03-21
  • Scope of issue: unless needed for medical treatment.
  • Correction Date:2008-06-10
  • Issue:Protect residents from mistreatment Detected / Reported on:2008-03-21
  • Scope of issue: neglect
  • Correction Date:2008-06-10
  • Issue:Provide care in a way that keeps or builds each resident's dignity and self respect. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Provide services to meet the needs and preferences of each resident. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Provide activities to meet the needs of each resident. Detected / Reported on:2008-03-21
  • Scope of issue:Isolated
  • Correction Date:2008-06-10
  • Issue:Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Detected / Reported on:2008-03-21
  • Scope of issue:Isolated
  • Correction Date:2008-06-10
  • Issue:Keep safe Detected / Reported on:2008-03-21
  • Scope of issue: clean and homelike surroundings.
  • Correction Date:Not yet!
  • Issue:Make a complete assessment that covers all questions for areas that are listed in official regulations. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Develop a complete care plan that meets all of a resident's needs Detected / Reported on:2008-03-21
  • Scope of issue: with timetables and actions that can be measured.
  • Correction Date:2008-06-10
  • Issue:1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team Detected / Reported on:2008-03-21
  • Scope of issue: including the primary nurse
  • Correction Date:2008-06-10
  • Issue:Give professional services that meet a professional standard of quality. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Give professional services that follow each resident's written care plan. Detected / Reported on:2008-03-21
  • Scope of issue:Isolated
  • Correction Date:2008-06-27
  • Issue:Give each resident care and services to get or keep the highest quality of life possible. Detected / Reported on:2008-03-21
  • Scope of issue:Isolated
  • Correction Date:2008-06-10
  • Issue:Make sure that residents receive treatment/services to continue to be able to care for themselves Detected / Reported on:2008-03-21
  • Scope of issue: unless a change is unavoidable.
  • Correction Date:2008-06-10
  • Issue:Make sure that residents who cannot care for themselves receive help with eating/drinking Detected / Reported on:2008-03-21
  • Scope of issue: grooming and hygiene.
  • Correction Date:2008-06-10
  • Issue:Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Detected / Reported on:2008-03-21
  • Scope of issue:Isolated
  • Correction Date:2008-06-10
  • Issue:Make sure that each resident who enters the nursing home without a catheter is not given a catheter Detected / Reported on:2008-03-21
  • Scope of issue: unless it is necessary.
  • Correction Date:2008-06-10
  • Issue:Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia Detected / Reported on:2008-03-21
  • Scope of issue: diarrhea
  • Correction Date:2008-06-27
  • Issue:Make sure that the nursing home area is free of dangers that cause accidents. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue: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. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:offer Flu or Pneumococal vaccine to some residents. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Use a registered nurse at least 8 hours a day Detected / Reported on:2008-03-21
  • Scope of issue: 7 days a week.
  • Correction Date:2008-06-10
  • Issue:Store Detected / Reported on:2008-03-21
  • Scope of issue: cook
  • Correction Date:Not yet!
  • Issue:Properly mark drugs and other similar products. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-27
  • Issue:Make sure that staff members wash their hands when needed. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Get proof that a nurse aide has the training and skills that the State requires. Detected / Reported on:2008-03-21
  • Scope of issue:Pattern
  • Correction Date:2008-06-10
  • Issue:Set up or keep a group of people to review and ensure quality. Detected / Reported on:2008-03-21
  • Scope of issue:Widespread
  • Correction Date:2008-06-10

Resident Information

  • Measure:Percent of low-risk long-stay residents who have pressure sores
  • score:Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.
  • Measure:Percent of short-stay residents who have pressure sores
  • score:53
  • Measure:Percent of long-stay residents who spend most of their time in bed or in a chair
  • score:14
  • Measure:Percent of long-stay residents whose need for help with daily activities has increased
  • score:6
  • Measure:Percent of short-stay residents who have delirium
  • score:11
  • Measure:Percent of long-stay residents who are more depressed or anxious
  • score:6
  • Measure:Percent of long-stay residents who have moderate to severe pain
  • score:33
  • Measure:Percent of long-stay residents whose ability to move about in and around their room got worse
  • score:4
  • Measure:Percent of long-stay residents who had a urinary tract infection
  • score:25
  • Measure:Percent of high-risk long-stay residents who have pressure sores
  • score:74
  • Measure:Percent of low-risk long-stay residents who lose control of their bowels or bladder
  • score:37
  • Measure:Percent of short-stay residents given influenza vaccination during the flu season
  • score:23
  • Measure:Percent of long-stay residents who have/had a catheter inserted and left in their bladder
  • score:12
  • Measure:Percent of long-stay residents who lose too much weight
  • score:9
  • Measure:Percent of long-stay residents given influenza vaccination during the flu season
  • score:45
  • Measure:Percent of short-stay residents who had moderate to severe pain
  • score:47
  • Measure:Percent of long-stay residents who were assessed and given pneumococcal vaccination
  • score:30
  • Measure:Percent of long-stay residents who were physically restrained
  • score:0
  • Measure:Percent of short-stay residents who were assessed and given pneumococcal vaccination
  • score:5