Name    Diane Meyers
E-mail    Diana.Meyers@illinois.gov
Facility Name    Madden Mental Health Center
Facility CEO:   Fred Nirde
Hospital Address 1200 S. 1st Avenue
Hines, IL, 60141
Facility Description (Brief)   
# Facility Beds - Adult  
# Facility Beds - Child & Adol   
# Facility Beds - Sub Abuse   
# Facility Beds - Forensic   
# Facility Beds - MR/DD   
# Facility Beds - TotaL    175
# Facility Beds - CMS Distinct Part    25
Survey Type    Unannounced
Surveying Agency    JCAHO
Survey Dates (inclusive)    August 27-29, 2007
Survey Days (e.g., Mon - Weds)    Mon-Weds
Number of Surveyors    2
Priority Focus Areas   
Last Survey Ending Date    4/2004

Profile - Surveyor #1     Leo Kirven, Jr., MD

Profile - Surveyor #2     Rita Snyder RN, MSN, CNA, CHSP

# of Non-Compliant Standards    12 RFI, 4 Supp

APR/NPSG Cites (Tag#/EP#/Brief Descrip/Surveyor)   

NPSG 2C EP 5

NPSG 2E EP 1

RI/PC/MM/IC Cites (Stnd#/EP#/Brief Descrip/Surveyor)   

PC.5.60 EP 1,3

MM.2.30 EP 6

PC.3.230 EP 1

PC.8.10 EP 3

PI/LD/HR/IM Cites (Stnd#/EP#/Brief Descrip/Surveyor)   

HR.1.20 EP 1

IM.6.10 EP 4,6,13

EC Cites (Stnd#/EP#/Brief Descrip/Surveyor)   

EC.1.10 EP 1

EC.2.10 EP 5

EC.4.20 EP 1

EC.7.10 EP 14

EC.7.40

EC.A.1H - LIfe Safety Code

EC.5.20

MS/NR Cites (Stnd#/EP#/Brief Descrip/Surveyor)  

MS.4.10 EP 5

**Surveyor Compliments:   

**Misc Comments   

Preliminary Survey Result    JC: ESC within 45 days

Customer Service (From TJC Report)