Articles Posted in Illinois Nursing Home Stats

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In a survey of 978 people with a family member in a nursing home, Care.com found that the decision to send a loved one to a nursing home was a ‘difficult one’ for 71% of survey participants.

Over a quarter of respondents reported their feelings towards their loved one’s care in a nursing home as either “dissatisfied” or “neither satisfied nor dissatisfied.”

The survey also asked respondents to describe how often they visited their loved one in a nursing home and what prevented them from being able to visit more often. The majority of respondents (57%) said their job was the primary reason they were unable to spend more time with a family member in a nursing home.

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Certified nursing assistants (CNAs) are responsible for the majority of care provided in nursing homes. AARP says “The job of a CNA can be difficult and hazardous. CNAs have demanding workloads and are often responsible for manually lifting and turning residents, which can cause lower back injuries. They can also be exposed to infections, diseases (such as tuberculosis), and physical violence from residents.”

Many of these nursing assistants are working incredibly long hours and multiple days in a row, pushing them into overtime. For many reasons, this already exhausting and demanding job is made even more so.

We’d like to share a current snapshot of the nursing assistant industry:

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Long Term Care Community Coalition (LTCCC), an organization committed to providing resources and information to promote healthy aging, has released their searchable data files on staffing hours for nursing homes and rehabilitation centers across the country for the first quarter of 2018.

The lists are divided by state, and the nursing home abuse and neglect attorneys of Chicago’s Levin & Perconti have reviewed the data for Illinois to find out the best and worst staffed facilities in Cook, DuPage, Lake, Kane, and Will Counties. Staffing, as most elder advocates know, is considered one of the largest contributing factors to nursing home abuse and neglect.

According to Nursing Home Compare, the ratings website run by the Centers for Medicare and Medicaid Services (CMS):

Illinois Average National Average
RN Per Resident/Day 47 minutes 40 minutes
Total Licensed Nurse Per Resident/Day (LPN/LVN + RN time) 1h 25 minutes 1h 33 minutes
Nurse Aide (CNA) Per Resident/Day 2h 2 minutes 2h 18 minutes

The data compiled by CMS and LTCCC shows that the best Illinois nursing homes and rehab facilities are beating the state and national averages for RN time per resident/per day, but that the worst are falling so far short that one Cook County nursing home averaged ZERO hours per resident a day.

Levin and Perconti also found that every nursing home that rated the worst in terms of staff hours per resident/day were for profit facilities. Our blog has extensively covered the driving force behind minimal staffing. It nearly always comes down to money.

Our findings are separated by county, as well as by role, examining the best and worst facilities in terms of RN time per resident/day, as well as total direct care staffing per resident/day. In their data compilations, LTCCC defines direct care roles as RNs, LPNs, and CNAs.


Average RN Staffing Hours Per Resident/Per Day By County

  • Cook County: Top 10 in RN hours are hospitals. There is a tie for nursing facilities.
    • Best – Alden Estates of Skokie (25 residents, for profit) and Terraces at the Clare (Chicago, 46 residents, for profit) both average 1.7 hours per resident/day.
    • Worst – Southview Manor Nursing Center (Chicago)
      • For profit
      • 183 residents
      • 0 hrs per resident/day
  • DuPage County:
    • Best – Marianjoy Rehab Hospital (Wheaton)
      • Non profit
      • 26 residents
      • 2.4 hours per resident/day
    • Worst – West Chicago Terrace (West Chicago)
      • For profit
      • 107 residents
      • .2 hours per resident/day
  • Kane County:
    • Best – Greenfields of Geneva
      • Non profit
      • 41 residents
      • 1.8 hours per resident/day
    • Worst – North Aurora Care Center
      • For profit
      • 105 residents
      • .1 hours per resident/day
  • Lake County:
    • Best – Lake Forest Place (Lake Forest)
      • Non profit
      • 50 residents
      • 1.9 hours per resident/day
    • Worst – The Grove at The Lake (Zion)
      • For profit
      • 170 residents
      • .3 hours per resident/day
  • Will County:
    • Best – Alden Courts of Shorewood
      •  For profit
      • 35 residents
      • 2.3 hours per resident/day
    • Worst – Aperion Care Wilmington
      • For profit
      • 158 residents
      • .1 hours per resident/per day


Average Total Direct Care Staffing Hours Per Resident/Per Day By County (RN, LPN, CNA)

  • Cook County:
    • Best – Rush Oak Park Hospital’s Skilled Nursing Unit
      • Non profit
      • 16 patients
      • 6.6 hours per resident/day
    • Worst – Parkshore Estates Nursing & Rehab (Chicago)
      • For profit
      • 228 residents
      • 1.4 hours per resident/day
  • DuPage County:
    • Best – Franciscan Village (Lemont)
      • Non profit
      • 58 residents
      • 7.1 hours per resident/day
    • Worst – Wynscape Health & Rehab (Wheaton)
      • For profit
      • 120 residents
      • 1.3 hours per resident/day
  • Kane County:
    • Best – Alden Courts of Waterford (Aurora)
      • For profit
      • 17 residents
      • 7.0 hours per resident/day
    • Worst – River View Rehab Center (Elgin)
      • For profit
      • 175 residents
      • 1.8 hours per resident/day
  • Lake County:
    • Best – Radford Green (Lincolnshire)
      • For profit
      • 75 residents
      • 1.5 hours per resident/day
    • Worst – Claridge Healthcare Center (Lake Bluff)
      • For profit
      • 102 residents
      • 2.1 hours per resident/day
  • Will County:
    • Best – Victorian Village Health & Wellness Center (Homer Glen)
      • Non profit
      • 45 residents
      • 5.9 hours per resident/day
    • Worst – Joliet Terrace Nursing Center
      • For Profit
      • 113 residents
      • 1.4 hours per resident/day

 

Let Levin & Perconti Help You
Levin & Perconti is one of the nation’s most recognized and respected leaders in the areas of elder abuse and nursing home negligence. We have successfully litigated and settled abuse and neglect cases throughout the city of Chicago, surrounding suburbs, and the entire state of Illinois.

If you suspect neglect or abuse of a loved one in a nursing home or skilled nursing facility, please contact us now for a FREE consultation with one of our attorneys. Call us toll free at 1-877-374-1417, in Chicago at (312) 332-2872, or complete our online case evaluation form.

 

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Hidden VA Nursing Home Care Data Published

According to USA Today and The Boston Globe, the Department of Veterans Affairs (VA) has been tracking and withholding data on the quality of care at VA nursing homes for years. Because of this alleged fail, resident veterans and their families may not see the bigger picture regarding the quality of care services provided or performed. Families may also be withheld vital health care information to assist in making support decisions. On June 25, 2018, the national news outlets published the ‘hidden’ information from 133 VA nursing homes using reports obtained from internal DVA documents. The review concluded that for the 46,000 veteran residents across the U.S., more than two-thirds of their VA nursing homes were “more likely to have issues related to serious bedsores and residents who will suffer serious pain, than their counterparts in private nursing homes across the country.”

Unlike the VA, private nursing homes are required to submit timely reports on the care they provide to measure quality, inspection issues and staffing. That data is then publicly posted on a federal website for families to use when researching a facility for their loved one.

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We recently shared information on the Illinois Department of Public Health’s State of Long-Term Care in Illinois report. It offers the best summary of Illinois nursing home statistics that we have. While not without its issues, the report is a helpful way for those focused on these issues to get an idea of the “lay of land” in regards to most major nursing home related concerns.

Another publication that might be helpful comes from the Illinois Long-Term Care Council. The Council was created in 2003 to provide a forum for making recommendations on the state of long-term care in Illinois. In that way, it is a conduit for all those hoping to work within the system to influence various issues that affect nursing home residents and others similarly situated.

The Council issues an annual report that summarizes its work, mission, and recommendations for the future. As with the IDPH annual report, this document is a good jumping off point for those wanting to get information on the major issues affecting the industry in our state. The latest report from the Council available online is from 2010. You can download a copy of the full document here.

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Yesterday we shared information on the latest report available from the Illinois Department of Public Health on the State of Long-Term Care in Illinois. The report is far from perfect, but all those concerned about the care for seniors and those with disabilities in our state are well served by taking a look at the full research effort. It is helpful to identify trends and get a feel for the various issues that are affecting the industry, from staffing rates to reported instances of neglect.

In our previous post we discussed the steady total level of long-term care facilities, IDPH employee levels, and basic neglect and abuse trends. Some other interesting details to pull from the report include:

–The report indicates various citations issued to facilities. There are several types of citations, “A,” “Repeat A,” “B,” and “Repeat B.” These refer to the supposed severity of the problem at the facility and whether or not it is an on-going issue. The statistics on this front are somewhat interesting. For example, in 2007 there were 177 “Type A” violations issued–the more severe type of care problem. The following year, the same total dropped to 97. And then in 2009 the Type A violations count rose significantly to 214.

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When working with individuals and families hurt by nursing home negligence and misconduct, it is easy to get bogged down in case summaries. While individual stories are a vital component to the reality of nursing home care in Illinois, it is also helpful to examine more universal trends. After all, it is only by comparing system-wide data year over year that we are able to understand whether real impacts for the better are being made. For example, are citations going down? Are there more or fewer complaints to state officials from residents and their families? All of this provides a helpful indicator of where were are and where we need to go.

Unfortunately, it is notoriously difficult to accurately collect and report this information. For that reason, it is important to take most universal summaries with a grain of salt. Instead, they are best utilized for their trends–are things going up or down–rather than their “to the number” accuracy.

However, that is not to say that there are not helpful publications out there which attempt to explain the overall picture of nursing home care in Illinois with real statistics. Perhaps the most comprehensive of these is the annual report created by the Illinois Department of Public Health (IDPH) to the General Assembly on the State of Long-Term Care. This report is required by the Illinois Nursing Home Care Act, though the most current report available for viewing online is from 2010.

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