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Generations at Applewood
The overall rating for Generations at Applewood is much below average. The facility received one star out of five for its overall rating. Generations at Applewood is located in Matteson, Illinois, a southern suburb to the City of Chicago lying approximately 32.7 miles from the center of the City of Chicago. Generations at Applewood has 115 certified beds that participates in both Medicare and Medicaid. The facility is not within a Continuing Care Retirement Community. That being the case, this nursing facility allows residents to move from one level of care to another based on their particular medical needs while staying in the same continuing care retirement community.
Generations at Applewood has a resident council only. Resident and family councils can facilitate communications with staff and personnel of the nursing home facility. The law requires nursing homes to allow councils to be set up by residents, families and loved ones. If a nursing home does not having a resident and/or family council, a resident, family member or loved one should ask the nursing home administrator why that is the case. In situations of omissions or commissions by nursing home personnel, a resident should ask a council president for assistance. The ownership of Generations at Applewood is a for profit partnership.
The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. The most recent standard health inspection with a full report was completed on May 26, 2017 resulting in 8 health citations. The average number of health citations in Illinois is 9.1. The average number of health citations in the U.S. is 7.2. In addition to the regular and standard health inspections, nursing homes are subject to complaint inspections. Between December 1, 2016 and November 30, 2017, there were two such complaint inspections at Generations at Applewood. The number of complaints in the past three years that resulted in citations were 19 at Generations at Applewood. The number of times in the past three years the facility-reported issue resulted in a citation was three times. The health inspection rating for Generations at Applewood is below average.
The total number of licensed nurse staff hours per resident per day at Generations at Applewood is 1 hour and 9 minutes. The Illinois average is 1 hour and 33 minutes, with the national average being 1 hour and 41 minutes for the total number of licensed nurse staff hours per resident per day. The registered nurse hours per resident per day for Generations at Applewood is 33 minutes which is significantly below the Illinois and national averages which stand at 56 minutes and 50 minutes, respectively. The physical therapy staff hours per resident per day at Generations at Applewood is 8 minutes. Both the Illinois and national averages in this category are 6 minutes.
Illinois nursing homes that are certified by Medicare and Medicaid regularly report clinical information for each of their residents to the Centers for Medicare & Medicaid Services (CMS). CMS gives nursing homes a quality of resident care star rating based on performance on 16 different measures. These measures reflect how well a nursing home cares for its residents. These listings are based on two groups which are short-stay residents who spend 100 days or less in a nursing home and long-stay residents who spend over 100 days in a nursing home.
The quality of resident care at Generations at Applewood is much below average. Medicare assigns the star rating based on data from a select set of clinical measures. The more stars a nursing home facility receives, the better quality of care. For Generations at Applewood receiving one star out of five is considered much below average.
31.2% of Generations at Applewood’s short-stay residents improved in their ability to move around on their own. That percentage is less than half of the Illinois and national averages in this category which stand at 63.4% and 66.7%, respectively. 15.5% of Generations at Applewood’s short-stay residents had an outpatient emergency department visit. The Illinois average is 12.1%, with the national average being 11.9%. 49% of Generations at Applewood’s short-stay residents were successfully discharged to the community. The Illinois average is 53.8%. The national average is 57%. 100% of Generations at Applewood’s short-stay residents received a needed vaccine to prevent pneumonia. The Illinois average stands far below that at 76.3%, with the national average at 82.8%.
25% of Generations at Applewood’s long-stay residents had a worsened ability to move independently compared to 17.2% for the Illinois average and 18.3% for the national average. 21.5% of the facility’s long-stay residents had an increased need for help with daily activities, whereas the Illinois average stands at 14.4%, with the national average being 15.1%. 98.9% Generations at Applewood’s long-stay residents received a needed flu shot for the current flu season. The Illinois average is 92.8%. The national average is 94.8%.
Generations at Applewood did not receive any nursing home fines in the last 3 years. It was noted that there was neither a federal fine nor an Illinois state fine during that 3-year period.
1 Vital Statistics
Number of Beds: 154 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.
2 Key Ratings
| 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 | | Below 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 |  | 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 | | Average |
3 Key Short Stay Statistics
| Description | Generations At Applewood | Illinois Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. | 8.8% | 10.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. | 0.9% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 97.1% | 72.8% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 99.5% | 74.7% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. | 0.0% | 2.1% |
4 Key Long Stay Statistics
| Description | Generations At Applewood | Illinois Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. | 1.2% | 3.3% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. | 7.3% | 3.1% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. | 3.9% | 4.9% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. | 7.6% | 7.6% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. | 86.1% | 46.1% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. | 1.4% | 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. | 15.8% | 16.5% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. | 10.1% | 13.8% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. | 8.0% | 6.3% |
| Percent of long-stay residents who have depressive symptoms Lower percentages are better. | 4.3% | 19.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better. | 14.2% | 20.2% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 98.8% | 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. | 7.0% | 18.8% |
5 Inspection Summary
Date of standard health inspection: 04/04/2019
Total number of health deficiencies: 12
Average number of health deficiencies in Illinois: 10.6
