Symphony of Midway, 4437 S. Cicero, Chicago, IL 60632
Symphony of Midway has 249 certified nursing home beds. The facility participates in Medicaid and Medicare. The facility ownership of Symphony of Midway is a for-profit partnership. Symphony of Midway is located on Chicago’s south side. It’s overall rating is below average.
The Illinois Department of Health and Human Services conducts inspections of Illinois nursing homes on average every 18 months. In February of 2016, one of those inspections was done. The date of the survey completion was February 16, 2016. It was found that Symphony of Midway failed to keep each resident’s personal and medical records private and confidential.
Based on observation and interview, the facility failed to ensure that privacy was provided during medication administration and personal care involving one of three residents in the sample. The findings included an observation of a resident in bed where the Licensed Practical Nurse was preparing to administer medication by way of a gastrostomy tube. The Licensed Practical Nurse was observed lowering the bedsheet to the resident’s knees and raised the gown above the resident’s abdomen. The resident was exposed from the knees to the upper abdomen. The door remained open and the privacy curtain was not closed. The interview included speaking to the Licensed Practical Nurse who said that she should have closed the door to administer the medication.
The Illinois Department of Health and Human Services found that Symphony of Midway failed to hire only people with no legal history of abusing, mistreating or neglecting residents or reporting and investigating reports of any acts reported of abuse or mistreatment of residents. Based on interview and record review, the facility failed to follow their policy related to injuries of unknown origin to the Illinois Department of Public Health and it failed to maintain records in that respect. These failures applied to 3 of 5 residents from the supplemental sample reviewed for abuse.
It was further found in the department inspection that Symphony of Midway failed to develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property. It was also found that Symphony of Midway failed to reasonably accommodate the needs and preferences of each resident. Based on observation, interview and record review, the facility failed to provide a requested wheelchair and mattress for a resident in need.
There was no available rating for staffing at Symphony of Midway. The total number of licensed nurse hours per resident per day on average for Illinois nursing home is 1 hour 34 minutes, the national average for this category is 1 hour and 42 minutes.
Symphony of Midway was considered much above average for quality measures. 42.5% of Symphony of Midway’s short-stay residents were successfully discharged to the community. 40.1% of Symphony of Midway’s short-stay residents made improvements in function during their stay. 25.1% of short-stay residents were re-hospitalized after a nursing home admission. 1.6% of Symphony of Midway’s short-stay residents developed pressure ulcers that were new or worsened.
Only .3% of Symphony of Midway’s long-stay residents experienced one or more falls with major injuries. This was much below the Illinois average of 3.3% which was the same average on the national level. Just 1.4% of Symphony of Midway’s long-stay residents developed a urinary tract infection. This percentage was again much lower than the Illinois and national averages which were 4.8% and 4.9%, respectively. 6.1% of Symphony of Midway’s long-stay residents developed pressure ulcers. This percentage was nearly the same for the Illinois average and national average. 13.7% of Symphony of Midway’s long-stay residents whose ability to move independently has worsened. 66.5% of Symphony of Midway’s long-stay residents were assessed and given the appropriate and seasonable influenza vaccine. This was considerably less than the Illinois average of 92.8% and the national average of 94.5%. also, Symphony of Midway reported just 80.2% of its long-stay residents were given the appropriate pneumococcal vaccine. This was again lower than the Illinois and national averages.
Symphony of Midway has not received any fines in the last 3 years.
Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.
Shows if the nursing home participates in the Medicare, Medicaid, or both.
| Star Rating Summary | ||
| Overall Rating | Below 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 | 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 | Much Below Average | |
| RN Staffing | Much Below 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 | Below Average |
| Description | Symphony At Midway | Illinois Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. | 4.7% | 10.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. | 3.6% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 65.1% | 72.8% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 67.6% | 74.7% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. | 1.6% | 2.1% |
| Description | Symphony At Midway | Illinois Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. | 1.5% | 3.3% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. | 0.7% | 3.1% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. | 0.8% | 4.9% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. | 7.7% | 7.6% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. | 51.2% | 46.1% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. | 1.0% | 2.4% |
| Percent of long-stay residents who were physically restrained Lower percentages are better. | 0.1% | 0.3% |
| Percentage of long-stay residents whose ability to move independently worsened Lower percentages are better. | 24.1% | 16.5% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. | 19.4% | 13.8% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. | 9.1% | 6.3% |
| Percent of long-stay residents who have depressive symptoms Lower percentages are better. | 35.1% | 19.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better. | 5.2% | 20.2% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 75.0% | 92.9% |
| Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 94.7% | 89.7% |
| Percent of long-stay residents who received an antipsychotic medication Lower percentages are better. | 6.0% | 18.8% |
Date of standard health inspection:02/01/2019
Total number of health deficiencies:6
Average number of health deficiencies in Illinois:10.6