1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Quincy, IL
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Broadway At 11th Street, Quincy, IL
(217) 223-8400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
20
Certified beds
Average residents
13
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-06-20
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
4.87
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
2.25
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
7.13
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
4.87
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
5.04
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
2.93
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
4.75
CMS adjusted RN staffing hours
Adjusted total hours
6.94
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
873
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.68
Composite VBP score used to determine payment impact.
Payment multiplier
1.0176
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.30
Baseline 24.54% · Performance 21.68% · Measure score 3.30 · Achievement 0 · Improvement 3.30
Healthcare-associated infections
7.71
Baseline 5.09% · Performance 5.53% · Measure score 7.71 · Achievement 7.71 · Improvement 0
Total nurse turnover
7.80
Performance 31.82% · Measure score 7.80 · Achievement 7.80 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.79% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 346 · Observed rate 10.98% · Lower 95% interval 9.05% |
| Discharge to community | 70.13% |
50.57%
19.6 pts better
|
Better than the National Rate · Eligible stays 309 · Observed rate 66.67% · Lower 95% interval 64.86% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 198 · Denominator 198 |
| Falls with major injury | 0.51% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 198 |
| Discharge self-care score | 47.71% |
53.69%
6 pts worse
|
Numerator 73 · Denominator 153 |
| Discharge mobility score | 51.63% |
50.94%
0.7 pts better
|
Numerator 79 · Denominator 153 |
| Pressure ulcers or injuries, new or worsened | 3.54% |
2.29%
1.2 pts worse
|
Numerator 7 · Denominator 198 · Adjusted rate 5.39% |
| Healthcare-associated infections requiring hospitalization | 5.53% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 169 · Observed rate 3.55% · Lower 95% interval 2.93% |
| Staff COVID-19 vaccination coverage | 2.38% |
8.2%
5.8 pts worse
|
Numerator 1 · Denominator 42 |
| Staff flu vaccination coverage | 88.16% |
42%
46.2 pts better
|
Numerator 67 · Denominator 76 |
| Discharge function score | 60.13% |
56.45%
3.7 pts better
|
Numerator 92 · Denominator 153 |
| Transfer of health information to provider | 99.29% |
95.95%
3.3 pts better
|
Numerator 140 · Denominator 141 |
| Transfer of health information to patient | 98.21% |
96.28%
1.9 pts better
|
Numerator 55 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 15.32% |
25.2%
9.9 pts worse
|
Numerator 17 · Denominator 111 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
68.8%
28.2 pts better
|
81.7%
15.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.0% · Q3 95.7% · Q4 95.4% · 4Q avg 97.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
14.0%
7.2 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 6.8% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.3%
1.3 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 1.1% · Q4 1.1% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.4% |
63.0%
34.4 pts better
|
79.7%
17.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.9% |
26.2%
1.3 pts better
|
23.9%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 24.6% · Expected 23.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-11-30
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-11-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-30
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-10-06
Inspection history
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-08
Health
Implement 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.
Corrected 2023-10-02
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
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