The Villa at Evergreen Park, 10124 S. Kedzie Avenue, Evergreen Park, Illinois 60805
The Villa at Evergreen Park has an overall rating below average. The facility has 242 certified beds and participates in both Medicare and Medicaid. The ownership of The Villa at Evergreen Park is a for-profit partnership. The Villa at Evergreen Park is not in a continuing care retirement community. It does have a resident council only. The Villa at Evergreen Park is located in Chicago’s suburb of Evergreen Park, which is just to the west of the Beverly neighborhood of Chicago’s southwest side.
The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. A health inspection full report was made on April 14, 2016 for The Villa at Evergreen Park. In that health inspection, there were a total of 10 health deficiencies. Two of those deficiencies were for healthcare, three for resident rights, one for nutrition and dietary, one for pharmacy services, two for environmental and one for administration. In addition, there was a full report from a complaint that was registered with the Illinois Department of Health and Human Services on May 19, 2016. These complaint inspections occur when a resident or resident’s family or loved one notifies the Department of Health and Human Services that something has occurred to the resident that would prompt an inspection. The period of time covered is between September 1, 2015 through August 31, 2016.
In the complaint report based on observation, interview and record review, the facility failed to ensure that call lights were within reach for five residents. The facility’s call light policy and procedure that date back to November 2010, includes, but is not limited to: When the resident is in bed or confined to a chair, be sure the call light is within easy reach of the resident.
Staffing is very important in Illinois nursing homes. The rating for The Villa at Evergreen Park for staffing is average. The registered nurse staffing rating is also average. The total number of licensed nurse staff hours per resident per day at The Villa at Evergreen Park is 1 hour and 52 minutes which was on average higher than both the Illinois and national averages. The registered nurse hours per resident per day at The Villa at Evergreen Park is 53 minutes, compared to 56 minutes which is the Illinois average and 51 minutes, which is the U.S. average. The licensed practical nurse hours per resident per day at The Villa at Evergreen Park is 59 minutes compared to the 37 minutes, which is the Illinois average. The physical therapy staff hours per resident per day at The Villa at Evergreen Park is 15 minutes, which is significantly higher by two times that of the Illinois and national averages which is just 6 minutes.
47.7% of The Villa at Evergreen Park’s short-stay residents made improvements in function. This percentage at The Villa at Evergreen Park was lower than the Illinois average of 60.1% and the national average of 63.3%. 26.2% of The Villa at Evergreen Park’s short-stay residents were re-hospitalized after a nursing home admission. This percentage was at The Villa at Evergreen Park was slightly higher than the Illinois average of 22.9% and the national average of 21.1%. 10.3% of The Villa at Evergreen Park’s short-stay residents had an outpatient emergency department visit compared to 12.1% which is the Illinois average. 57.6% of The Villa at Evergreen Park’s short-residents were successfully discharged to the community. A very small percentage of The Villa at Evergreen Park’s short-stay residents (0.7%) developed pressure ulcers that were new or worsened while a resident at this nursing facility. That percentage was less than half the Illinois and national averages.
1.3% of The Villa at Evergreen Park’s long-stay residents experienced one or more falls with major injury. At that percentage, The Villa at Evergreen Park compared very favorably with the Illinois and national averages which were both 3.3% each. 8% of The Villa at Evergreen Park’s long-stay high-risk residents developed pressure ulcers while a resident. This percentage was higher than the Illinois average of 6.3% and the U.S. average at 5.8%. Just 76.6% of The Villa at Evergreen Park’s long-stay residents were assessed and given the appropriate seasonal influenza vaccine. This percentage was significant in that it is lower by 16% compared to the Illinois average of 92.8% and the national average of 94.5% in this category. The Villa at Evergreen Park didn’t do much better in the area of assessing and given the appropriate pneumococcal vaccine. 84.8% of its residents received that vaccine compared to 91.9% on average for Illinois nursing home residents and 93.4%, which is the national average.
The Villa at Evergreen Park has not received any federal fines in the last 3 years. It is possible that Illinois may have imposed a penalty under state law, but none are listed. To search for the Illinois state penalties, there is a separate website that would allow for an independent viewing of any such fines.
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 | 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 | Below Average | |
| RN Staffing | 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 | Above Average |
| Description | Avantara Evergreen Park | Illinois Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. | 3.2% | 10.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. | 0.4% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 57.1% | 72.8% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 42.9% | 74.7% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. | 1.4% | 2.1% |
| Description | Avantara Evergreen Park | Illinois Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. | 1.8% | 3.3% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. | 1.5% | 3.1% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. | 0.7% | 4.9% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. | 13.2% | 7.6% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. | 74.8% | 46.1% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. | 4.5% | 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. | 24.4% | 16.5% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. | 18.7% | 13.8% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. | 2.8% | 6.3% |
| Percent of long-stay residents who have depressive symptoms Lower percentages are better. | 3.1% | 19.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better. | 4.4% | 20.2% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 85.7% | 92.9% |
| Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 69.7% | 89.7% |
| Percent of long-stay residents who received an antipsychotic medication Lower percentages are better. | 5.6% | 18.8% |
Date of standard health inspection:03/16/2018
Total number of health deficiencies:18
Average number of health deficiencies in Illinois:10.6