Little Evidence That Poorly Performing Nursing Homes Are Improving

Poorly Performing Nursing HomesWhile I imagine that there are a host of reasons behind the implementation of Medicare’s Nursing Home Compare— and star-rating system, I propose that a paramount reason was to ‘encourage’ poorly performing nursing homes to change the way that they operate.  It would make sense that the impact of market conditions would force troubled nursing homes to clean up their act or risk an inevitable decline in the number patients filling beds at their facility…..theoretically.

Despite Medicare’s clearly identified label for the most poorly performing nursing homes– one-star facilities– as being ‘much below average’ compared to other facilities within the state, the dubious distinction doesn’t seem to be like much of an impetuous for facilities to improve.

A recently USA Today article, “As nursing home care improves, some problems slow to mend” followed nursing home rating for facilities over the lifetime of Nursing Home Compare system.  While the authors did note that the percentage of poorly rated facilities has decreased since the programs inception, a distressingly large number of facilities have elected to follow their own inferior course.

564 nursing homes providing care for upwards of 73,000 patients have consistently received the one-star rating during every inspection cycle of the program.  Not surprisingly, many of the facilities in this category share some similarities in that the majority (66%) of them are ‘for-profit’ facilities.  Similarly, a sizable contingent of poorly rated facilities are parts of large nursing home chains, such as ManorCare or Golden Living.

Why all of these poorly performing nursing homes?

Some experts associate the consistently poor rating with a high rate of staff turnover.  In this light, a pilot program has been initiated by a health policy foundation, The Commonwealth Fund, to help provide more consistency in the care that is provided to patients.

From my perspective— even with the widely distributed rating system, many of these consistently poorly rated nursing homes continue to exist– simply because the operators refuse to invest the necessary work needed to improve the care they provide to their patients.  As we consistently see with nursing home operators, as long as these facilities continue to remain profitable, the likelihood of improvement is dim.


Lots Of Information On Nursing Homes Is Out There— It Frequently Is A Matter Of Knowing Where To Look

More Detailed Nursing Home Information Now Available Online

How Do I Begin The Search For Care Options?

More Improvements At Medicare’s ‘Nursing Home Compare’ Website

Facilities in Illinois that have been consistently received one-star rating from 2009-2011:

Alton Rehab & Nursing Center Alton IL For profit – Corporation

Aurora Rehab & Living Center Aurora IL For profit – Corporation

Belleville Healthcare & Rehab Belleville IL For profit – Corporation

Asta Care Center of Bloomingtn Bloomington IL For profit – Corporation

Bridgeview Health Care Center Bridgeview IL For profit – Corporation

Helia Healthcare of Carbondale Carbondale IL For profit – Corporation

Caseyville Nursing & Rehab Ctr Caseyville IL For profit – Corporation

Charleston Rehab & Health Care Center Charleston IL For profit – Corporation

Three Springs Lodge Nursing Home, LLC Chester IL For profit – Corporation

Bronzeville Park Nsg & Lvg Ctr Chicago IL For profit – Limited liability company

Belhaven Nursing & Rehab Center Chicago IL For profit – Corporation

Lakeview Rehab & Nursing Center Chicago IL For profit – Corporation

Renaissance Park South Chicago IL For profit – Corporation

Villa At Windsor Park Chicago IL For profit – Partnership

Renaissance At 87th Street,The Chicago IL For profit – Corporation

Alden Town Manor Rehab & Hcc Cicero IL For profit – Corporation

Crestwood Care Centre Crestwood IL For profit – Partnership

Danville Care Center Danville IL For profit – Corporation

Vermilion Manor Nursing Home Danville IL Government – County

Mckinley Court Decatur IL For profit – Partnership

Lincoln Rehabilitation Center Decatur IL For profit – Corporation

Forest Hill Health and Rehab East Moline IL For profit – Individual

Glenwood Healthcare & Rehab. Glenwood IL For profit – Partnership

Stearns Nursing & Rehab Center Granite City IL For profit – Partnership

Granite Nursing & Rehabilitation Granite City IL For profit – Partnership

North Church Nursing & Rehab Jacksonville IL For profit – Corporation

Alden Long Grove Rehab &Hc Ctr Long Grove IL For profit – Corporation

Marion Rehab & Nursing Center Marion IL For profit – Corporation

Manor Court of Maryville Maryville IL Non profit – Corporation

Morton Villa Care Center Morton IL For profit – Corporation

Morton Terrace Care Center Morton IL For profit – Corporation

Friendship Manor Health Care Nashville IL For profit – Partnership

Newman Rehabilitation & Hcc Newman IL For profit – Corporation

Niles Nsg & Rehab Ctr Niles IL For profit – Corporation

Oak Lawn Respiratory & Rehab Oak Lawn IL For profit – Partnership

Oak Park Healthcare Center Oak Park IL For profit – Corporation

Richland Care & Rehab Olney IL For profit – Corporation

Asta Care Center – Ford County Paxton IL For profit – Corporation

Saint Clare Home Peoria Heights IL Non profit – Church related

Pinckneyville Health Care Ctr Pinckneyville IL For profit – Corporation

Alden Alma Nelson Manor Rockford IL For profit – Corporation

Alden Park Strathmoor Rockford IL For profit – Corporation

Asta Care Center of Rockford Rockford IL For profit – Corporation

Amberwood Care Center Rockford IL For profit – Corporation

Champaign Urbana Reg Rehab Center Savoy IL For profit – Corporation

Shelbyville Rehab & Hcc Shelbyville IL For profit – Individual

Windmill Nursing Pavilion South Holland IL For profit – Corporation

Sterling Pavilion Sterling IL For profit – Corporation

Mcallister Nursing & Rehab Tinley Park IL For profit – Corporation

Wheaton Care Center Wheaton IL For profit – Partnership

Woodstock Residence Woodstock IL For profit – Partnership

For more information on nursing homes in Chicago look here. For laws related to Illinois nursing homes, look here.

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Client Reviews

Jonathan did a great job helping my family navigate through a lengthy lawsuit involving my grandmother's death in a nursing home. Through every step of the case, Jonathan kept my family informed of the progression of the case. Although our case eventually settled at a mediation, I really was impressed at how well prepared Jonathan was to take the case to trial. Lisa
After I read Jonathan’s Nursing Home Blog, I decided to hire him to look into my wife’s treatment at a local nursing home. Jonathan did a great job explaining the process and the laws that apply to nursing homes. I immediately felt at ease and was glad to have him on my side. Though the lawsuit process was at times frustrating, Jonathan reassured me, particularly at my deposition. I really felt like Jonathan cared about my wife’s best interests, and I think that came across to the lawyers for the nursing home. Eric