A+
97/100

HENDERSON COUNTY RET CENTER Inspection Report, Violations & Safety Grade (STRONGHURST, Illinois)

604 OAKWOOD DRIVE, STRONGHURST, Illinois 61480

Phone: 3099241123

CMS Overall:5/5

Overview & Bed Count

Certified Beds
58
Avg Residents/Day
37.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Henderson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityIllinois AvgDifference
RN Hours per Resident per Day0.560.71-0.16
Total Nurse Hours per Resident per Day3.853.47+0.38
CMS Staffing Rating4/52.2/5-
Nursing Staff Turnover51.2%43.7%-

Health Citation History

5 health citations on record

DateCategoryDescriptionSeverity
2024-05-10Infection Control DeficienciesImplement a program that monitors antibiotic use.F – Moderate Harm Potential
2024-05-10Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2024-05-10Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-05-04Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-05-04Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential

Fire Safety Citation History

14 fire safety citations on record

DateCategoryDescriptionSeverity
2025-04-02Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.F – Moderate Harm Potential
2025-04-02Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-04-02Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-04-02Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-05-10Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-05-10Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2024-05-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-05-04Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2023-05-04Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2023-05-04Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2023-05-04Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-05-04Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2023-05-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure operating rooms are properly protected and written records are maintained and available for inspection.E – Moderate Harm Potential
2023-05-04Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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