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WATERFORD NURSING & REHAB, THE

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WATERFORD NURSING & REHAB, THE VS
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General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City Chicago  vs 0.6% Nursing Homes USA have Chicago
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 7445 N. SHERIDAN ROAD  
Zip Code 60626  
Phone 7733383300  
Overall Star Rating
(1.11 lower than average)
vs
3.11

Health Inspections Star Rating
(0.83 lower than average)
vs
2.83

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

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

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

Number of Certified Beds
141  (32.06 higher than average)
vs
108.94

Total Number of Residents
123  (31.75 higher than average)
vs
91.25

Percent of Occupied Beds
87 % (3.35 % higher than average)
vs
83.65 %

Health Survey Date 3/16/2012  
Fire Survey Date 4/6/2012  
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 - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
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
(56.16 lower than average)
vs
58.16

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

# of deficiencies
10  (2.52 higher than average)
vs
7.48

Staff Information
Number of Residents
123  (31.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.56  (0.21 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.32  (0.52 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.88  (0.71 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.05  (5.44 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.05  (0.05 lower 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: 10/18/2010
date Of Correction: 11/15/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 09/22/2010
date Of Correction: 10/15/2010 

Deficiency #3 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: 04/16/2010
date Of Correction: 05/19/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 11/17/2011
date Of Correction: 12/05/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 11/17/2011
date Of Correction: 12/05/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 11/17/2011
date Of Correction: 12/05/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/22/2010
date Of Correction: 10/15/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 06/23/2010
date Of Correction: 07/09/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 06/23/2010
date Of Correction: 07/09/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/16/2010
date Of Correction: 05/19/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
44.4 % (19.31 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain 12.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
24.2 % (11.62 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.3 % (7.53 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
21.6 % (22.94 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.6 % (11.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.3 % (9.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.2 % (23.18 % lower 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
20.7 (69.3) % (4.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
83 % (1.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
78.7 % (5.24 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
4.3 % (11.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
45.5 % (20.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (22.1 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
11.4 % (2.7 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
28.7 % (19.48 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.8 % (2.7 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.9 % (22.48 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 % (6.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.1 % (2.48 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.9 % (14.96 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.3 % (38.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.1 % (6.63 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
26.6 (79.9) % (1.84 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
44.1 % (37.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened 9.4 / 10.4 % 
Percent of short-stay residents who newly received an antipsychotic medication
5.3 % (12.04 % lower than average)
vs
17.34 %



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