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VILLA AT WINDSOR PARK

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VILLA AT WINDSOR PARK VS
All other Nursing Homes USA
General
City Chicago  vs 0.6% Nursing Homes USA have Chicago
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 2649 EAST 75TH ST  
Zip Code 60649  
Phone 7733569300  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(2.17 lower than average)
vs
3.17

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

RN Only Star Rating
(1.17 lower than average)
vs
3.17

Number of Certified Beds
240  (131.06 higher than average)
vs
108.94

Total Number of Residents
191  (99.75 higher than average)
vs
91.25

Percent of Occupied Beds
80 % (3.65 % lower than average)
vs
83.65 %

Health Survey Date 2/17/2012  
Fire Survey Date 3/14/2012  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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 Both  vs 29.8% Nursing Homes USA have Both
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
(55.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(53.31 lower than average)
vs
56.31

# of deficiencies
11  (3.52 higher than average)
vs
7.48

Staff Information
Number of Residents
191  (99.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.4  (0.37 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.9  (0.06 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.29  (0.3 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.16  (5.33 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.16  (0.06 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: 10/16/2009
date Of Correction: 11/04/2009 

Deficiency #2 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: 08/12/2009
date Of Correction: 09/09/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 04/15/2009
date Of Correction: 04/30/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 06/24/2010
date Of Correction: 07/06/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 04/02/2010
date Of Correction: 04/17/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 10/01/2009
date Of Correction: 10/13/2009 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/08/2009
date Of Correction: 09/25/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.
survey Date: 09/08/2009
date Of Correction: 09/25/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/08/2009
date Of Correction: 09/25/2009 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 04/15/2009
date Of Correction: 06/24/2009 

Deficiency #8 Scope: Few
level Of Harm: 3
deficiency: Give The Right Treatment And Services To Residents Who Have Mental Or Psychosocial Problems Adjusting.
survey Date: 04/15/2009
date Of Correction: 04/30/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
19.6 % (5.49 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.1 % (31.85 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
6.6 % (10.06 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7.1 % (5.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10.8 % (1.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.3 % (0.76 % 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
6.6 % (6.86 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
2.3 % (26.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.6 % (43.08 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
36.5 % (48.14 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
26.5 % (57.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2  (29.3 higher than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (14.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
17.9 (64.2) % (7.49 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.8 % (22.9 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.4 % (7.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
6.3 % (2.92 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
11.4 % (2.9 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
44.8 % (1.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 % (5.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5 % (4.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
1.8 % (18.06 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.6 % (37.93 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.6 % (9.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 16.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
36.1 % (45.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
19.5-24 % (55.25 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
4.8 % (12.54 % lower than average)
vs
17.34 %



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