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PAVILION OF WAUKEGAN

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PAVILION OF WAUKEGAN VS
All other Nursing Homes USA
General
City WAUKEGAN   vs 0% Nursing Homes USA have WAUKEGAN
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 2217 WASHINGTON STREET  
Zip Code 60085  
Phone 8472444100  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
109  (0.06 higher than average)
vs
108.94

Total Number of Residents
82  (9.25 lower than average)
vs
91.25

Percent of Occupied Beds
75 % (8.65 % lower than average)
vs
83.65 %

Health Survey Date 5/17/2012  
Fire Survey Date 5/16/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(3.48 lower than average)
vs
7.48

Staff Information
Number of Residents
82  (9.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.03  (0.26 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.31  (0.53 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.34  (0.25 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.15  (5.34 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.15  (0.05 higher than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 07/28/2011
date Of Correction: 08/19/2011 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 12/21/2009
date Of Correction: 01/06/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 12/21/2009
date Of Correction: 01/06/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/21/2009
date Of Correction: 01/06/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.8 % (11.29 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
3.5 % (29.45 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
4.8 % (11.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
14.9-28 % (2.32 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.3 % (5.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
46.9 % (2.36 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.5 % (10.13 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.3 % (12.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
32.9 % (4.52 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
11.1 % (13.92 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.2 % (8.44 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
80.9 % (3.04 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
3.1 % (42.8 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
2.4 % (13.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication 15.9:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (21.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
4 % (10.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers 13.9 / 15.3 % 
Percent of long-stay residents who lose too much weight
7.4 % (1.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.6 % (4.22 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.9 % (4.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
2.7 % (6.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
29.8 % (9.94 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.50 % (37.03 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.3 % (8.43 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 12.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
77.4 % (4.04 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
87.5 % (12.75 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
14.5 % (2.84 % lower than average)
vs
17.34 %



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