CMS data shows Mercer Manor Rehabilitation earning a D grade with a score of 45/100, placing it below most facilities in Illinois. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Mercer Manor Rehabilitation, with 3.18 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 17 deficiencies at Mercer Manor Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide activities to meet all resident's needs..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.18 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.62 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.47 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.09 | 2.4 | Below Average |
| Weekend Total Nursing | 2.61 | 3.8 | Below Average |
| Weekend RN Hours | 0.51 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0679 Severity EProvide activities to meet all resident's needs.Jan 8, 2025 · Quality of Life and Care Deficiencies
- Tag 0758 Severity EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psyJan 8, 2025 · Pharmacy Service Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jan 8, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jan 8, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity DProvide appropriate pressure ulcer care and prevent new ulcers from developing.Jan 8, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.2% | 4.5% | Better |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 18.4% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 3.1% | 14.0% | Better |
| Excessive weight loss | 15.2% | 7.5% | Worse |
| New/worsened incontinence | 20.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $137,996
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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