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Smith Crossing
Smith Crossing, 1050 Emilie Lane, Orland Park, Illinois 60467
Smith Crossing has an overall rating of much above average receiving five stars out of five. The facility has 46 certified beds that participates in both Medicare and Medicaid. Smith Crossing is within a Continuing Care Retirement Community. A Continuing Care Retirement Community offers multiple housing options and levels of care. This is an important asset in that residents may move from one level of care to another based on their medical needs while still remaining in the same nursing home. Smith Crossing has a resident council only. Resident and family councils are important to facilitate communications with the nursing home staff. The law requires nursing homes to allow councils to be set up by residents and families. In the case of the nursing home not having a resident and/or family council, a resident or a family member should ask the nursing home administrator why that is the case. It also may be important to suggest to residents and family members to speak with the council president to get an idea of how the nursing home has acted with other residents who have raised concerns about how the nursing home is operating.
Smith Crossing is located in Orland Park, Illinois, which is a southwestern suburb to the City of Chicago lying approximately 31.2 miles from the center of the City of Chicago. The ownership of Smith Crossing is a nonprofit corporation under the legal business name of Washington & James Smith Community – Orland Park.
The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. The health inspection rating for Smith Crossing is above average. The most recent standard health inspection full report was filed on July 20, 2017 which included 4 health citations. The average number of health citations in Illinois following a standard health inspection is 9.1. The average number of health citations following a health inspection in the U.S. is 7.2. Between December 1, 2016 and November 30, 2017, there were no complaint inspections. The total number of complaints of this sort the last three years that resulted in a citation were 3. Complaint inspections of an Illinois nursing home can occur if a resident, loved one or relative of a resident submits a complaint to the Illinois Department of Health and Human Services which will result in an inspection.
Smith Crossing received a staffing rating of much above average. The total number of licensed nurse staff hours per resident per day at Smith Crossing is 1 hour and 45 minutes compared to 1 hour and 33 minutes, which is the Illinois average, with 1 hour and 41 minutes being the national average. The registered nurse hours per resident per day at the facility was 1 hour and 39 minutes compared to 56 minutes for the Illinois average and 50 minutes being the national average. The physical therapy staff hours per resident per day at this facility is 16 minutes. Both the Illinois and national averages are 6 minutes of physical therapy staff hours per resident per day.
Registered nurses are licensed healthcare professionals who are responsible for coordination, management and overall delivery of care to residents.
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 Smith Crossing is above average. Medicare assigns the star rating based on data from a select clinical data measures. The more stars mean the better-quality care. For example, 76.4% of Smith Crossing’s short-stay residents improved in their ability to move around on their own. The Illinois average is 63.4%, with the national average being 66.7% in this category. The registered nurse staffing rating for Smith Crossing is much above average. 66.8% of Smith Crossing’s short-stay residents were successfully discharged to the community. The Illinois average in this category is 53.8%. 97% of Smith Crossing’s short-stay residents received a needed flu shot for the current flu season. The Illinois average in this category is only 73.3%, with the national average at 80.6%.
3.5% of Smith Crossing’s long-stay residents experienced one or more falls with major injury. The Illinois and national averages in this category are both 3.4%. 14.3% of Smith Crossing’s long-stay high-risk residents developed pressure ulcers. The Illinois average is 5.8%, with the national average being 5.6%. Pressure ulcers are defined as areas of damaged skin caused by staying in one position for too long. High-risk residents have at least one of the following conditions: impaired mobility, difficulty staying nourished or they are immobilized by coma or other illness or disease. 100% of Smith Crossing’s long-stay residents received the needed vaccine to prevent pneumonia, compared to 91.6% for the Illinois average.
Smith Crossing 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: 46 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 |  | 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 |  | 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 | | Much Above Average |
| RN Staffing | | Much Above 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 | Smith Crossing | Illinois Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. | 17.4% | 10.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. | 0.6% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 96.8% | 72.8% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 97.7% | 74.7% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. | 4.3% | 2.1% |
4 Key Long Stay Statistics
| Description | Smith Crossing | 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. | 11.8% | 3.1% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. | 0.0% | 4.9% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. | 5.2% | 7.6% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. | 71.4% | 46.1% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. | 2.3% | 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. | 16.0% | 16.5% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. | 18.2% | 13.8% |
| Percent of long-stay residents who lose too much weight Lower percentages are better. | 1.8% | 6.3% |
| Percent of long-stay residents who have depressive symptoms Lower percentages are better. | 4.7% | 19.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better. | 8.6% | 20.2% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 100.0% | 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. | 36.6% | 18.8% |
5 Inspection Summary
Date of standard health inspection: 08/10/2018
Total number of health deficiencies: 5
Average number of health deficiencies in Illinois: 10.6
