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Astoria Place Living & Rehab

Astoria Place Living & Rehab has 164 certified beds. It participates in both Medicare and Medicaid. The ownership of the facility is a partnership that operates as a for-profit business. The facility is located in the Avondale neighborhood of Chicago’s northwest side. The overall rating for Astoria Place Living & Rehab is above average.

The health inspection rating for Astoria Place Living & Rehab is above average. The Illinois Department of Health and Human Services conducts inspections of Illinois nursing homes approximately every 18 months. In December 2015, an inspection of Astoria Place Living & Rehab was done. Based on observation, interview and record review, the facility failed to notify the physician of the development of wounds of two residents.

On December 20, 2015, during wound treatment observation with a registered nurse woundcare coordinator and a certified nurse’s aide, a resident was observed wearing an incontinence brief. The certified nurse’s aide removed the incontinence brief by turning the resident onto her side and pulled off the wet incontinence pad that was stuck in between the resident’s legs. Three ulcers were noted on the resident’s buttocks and thigh region. The registered nurse woundcare coordinator described the ulcer located on the resident’s left buttocks as an excoriation.

The resident also had a reddened ulcer located on the left buttocks directly above and right of the ulcer that was currently being treated. Another reddened ulcer was located on the left upper thigh region. The presence of ulcers which were documented with no treatment orders were confirmed by the registered nurse woundcare coordinator during the wound observation.

The revealed care plans for this resident showed that she was to be monitored, assessed and to document healing on a weekly basis. It was also required that the wound be measured in length where possible. During the same inspection, it was found that based on observation, interview and record review, Astoria Place failed to ensure that call lights were accessible involving 4 of 9 residents reviewed for accountability of needs. It was found in 1 resident that the call light was hanging along the wall next to the resident’s roommate’s bed, and not within reach. Another resident’s call light string was on top of the bedside dresser, on the right side of the bed and not within reach. Another resident’s call light string was hanging on the floor, at the head of the bed on the right side of the resident’s bed and not within reach.

It was also found in this inspection that the facility failed to provide and maintain sanitary residents’ personal care and food items and failed to provide adequate housekeeping services involving 7 residents.

In terms of staffing, Astoria Place Living & Rehab was considered average. The total number of licensed staff nurse hours per resident per day is 1 hour and 41 minutes. That compares favorably to the averages for Illinois and the U.S. in this category. Registered nurse hours per resident per day are 1 hour and 5 minutes, which is better than the Illinois and U.S. averages. The CNA hours per resident per day are equal to or slightly less than the Illinois and national averages. On the other hand, the physical therapy staff hours per resident per day are just 3 minutes compared to both Illinois and the national average, which are 6 minutes per day.

The percentage of short-stay residents who were re-hospitalized after a nursing home admission was 18.5% at Astoria Place Living & Rehab. This compared favorably as to the Illinois and national averages. Only 3.9% of Astoria Place Living & Rehab short-stay residents had an outpatient emergency department visit. This rated much better than the Illinois and national averages. Astoria Place Living & Rehab scored well with respect to the percentage of short-stay residents who were successfully discharged to the community at 69.6%.

Only .8% of Astoria Place Living & Rehab long-stay residents experienced one or more falls with major injury. This compared very well with Illinois and the nation in the same category.

The percentage of long-stay residents at Astoria Place Living & Rehab whose ability to move independently worsened was slightly higher than the Illinois and national averages. 95.2% of Astoria Place Living & Rehab long-stay residents were given the appropriate pneumococcal vaccine. This compared favorably against the Illinois and national averages.

Astoria Place Living & Rehab received no federal fines in the last 3 years.

1Vital Statistics
Number of Beds:164 certified beds

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts:Medicare and Medicaid

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2Key Ratings
Star Rating Summary
Overall Rating

Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

Much Above Average
Health Inspection

Medicare assigns the star rating based on a nursing home's weighted score from recent health inspections. More stars means fewer health risks

Much Above Average
Staffing

Medicare assigns the star rating based on the nursing home's staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

Below Average
RN StaffingAbove Average
Quality Measures

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Above Average
3Key Short Stay Statistics
DescriptionAstoria Place Living & RehabIllinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.0%10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.5%Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
91.3%72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
98.7%74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
2.3%2.1%
4Key Long Stay Statistics
DescriptionAstoria Place Living & RehabIllinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.7%3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
0.2%3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.9%4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
3.9%7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
62.5%46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
1.1%2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.0%0.3%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
17.0%16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
9.8%13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
5.8%6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
71.2%19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
16.6%20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
98.7%92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
100.0%89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
15.9%18.8%
5Inspection Summary

Date of standard health inspection:12/12/2018
Total number of health deficiencies:5
Average number of health deficiencies in Illinois:10.6


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