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WESTCHESTER HEALTH & REHABILITATION

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WESTCHESTER HEALTH & REHABILITATION VS
All other Nursing Homes USA
General
City WESTCHESTER   vs 0% Nursing Homes USA have WESTCHESTER
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 2901 SOUTH WOLF ROAD  
Zip Code 60154  
Phone 7085311441  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

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

Number of Certified Beds
120  (11.06 higher than average)
vs
108.94

Total Number of Residents
109  (17.75 higher than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 9/1/2011  
Fire Survey Date 10/31/2011  
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 - 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? Yes  vs 54.9% Nursing Homes USA 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
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
(0.52 higher than average)
vs
7.48

Staff Information
Number of Residents
109  (17.62 higher than average)
vs
91.38

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/23/2011
date Of Correction: 12/29/2011 

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: 05/26/2011
date Of Correction: 07/09/2011 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/01/2011
date Of Correction: 09/28/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/01/2010
date Of Correction: 07/01/2010 

Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/16/2009
date Of Correction: 01/08/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/16/2009
date Of Correction: 01/08/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 07/29/2009
date Of Correction: 08/17/2009 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.
survey Date: 12/16/2009
date Of Correction: 01/08/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
24.3 % (0.79 % lower 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
1.4 % (15.26 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5.1 % (7.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
2.9 % (8.93 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
63.6 % (19.06 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.8 % (11.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.9 % (10.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % 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 8.9 / 9.9 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
69.1 % (15.54 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
84.7 % (0.76 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 
Percent of long-stay residents experiencing one or more falls with major injury
1.9 % (13.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.6 (65.5) % (6.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1 % (22.7 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
2.20 % (11.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.1 % (2.12 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 7.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.1 % (13.72 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 % (7.05 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
1 % (8.58 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 2.6 / 3 % 
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
3.2 % (7.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
9.2 % (15.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.1 % (16.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.4 % (18.65 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
20.3 % (2.96 % higher than average)
vs
17.34 %



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