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WESTMONT NURSING AND REHAB CENTER

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WESTMONT NURSING AND REHAB CENTER VS
All other Nursing Homes USA
General
City WESTMONT   vs 0% Nursing Homes USA have WESTMONT
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 6501 SOUTH CASS  
Zip Code 60559  
Phone 6309602026  
Overall Star Rating
(2.11 lower than average)
vs
3.11

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

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

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

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

Number of Certified Beds
215  (106.06 higher than average)
vs
108.94

Total Number of Residents
195  (103.75 higher than average)
vs
91.25

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

Health Survey Date 10/27/2011  
Fire Survey Date 10/25/2011  
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 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 22  
Staff Information
Number of Residents
195  (103.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.47  (0.3 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.41  (0.43 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.87  (0.72 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: 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: 02/02/2012
date Of Correction: 02/03/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 02/02/2012
date Of Correction: 02/03/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/15/2011
date Of Correction: 07/28/2011 

Deficiency #4 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: 05/18/2011
date Of Correction: 06/15/2011 

Deficiency #5 Scope: Few
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: 08/19/2010
date Of Correction: 09/13/2010 

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: 05/18/2011
date Of Correction: 06/15/2011 

Deficiency #2 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: 10/01/2009
date Of Correction: 10/08/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Allow Residents To Easily View The Results Of The Nursing Home's Most Recent Survey.
survey Date: 08/03/2011
date Of Correction: 08/03/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Written Records When A Resident Is Transferred Or Discharged.
survey Date: 04/07/2011
date Of Correction: 04/21/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 08/19/2010
date Of Correction: 09/13/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.
survey Date: 08/19/2010
date Of Correction: 09/13/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 05/22/2009
date Of Correction: 06/15/2009 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 05/22/2009
date Of Correction: 06/15/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/26/2011
date Of Correction: 11/30/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/22/2011
date Of Correction: 08/03/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/19/2010
date Of Correction: 09/13/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/22/2009
date Of Correction: 06/15/2009 

Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home.
survey Date: 08/19/2010
date Of Correction: 09/13/2010 

Deficiency #2 Scope: Some
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: 05/22/2009
date Of Correction: 06/15/2009 

Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 08/19/2010
date Of Correction: 09/13/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 03/21/2011
date Of Correction: 04/13/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Paid Feeding Assistants 1) Completed Training; 2) Works Under The Supervision Of A Rn Or Lpn; And 3) Feeds Only Residents Who Have No Complicated Feeding Problems.
survey Date: 10/01/2009
date Of Correction: 10/08/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.4 (90.3) % (7.31 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (31.25 % lower 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
6 % (6.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.8 % (7.03 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
1.7 % (42.84 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7 % (8.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
5.9 % (7.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
23.6 % (4.78 % 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
7.7 % (17.32 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
15 % (69.64 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
15.4 % (68.54 % 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
4.7 % (10.82 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
30.7 % (5.31 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.9 % (21.8 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
1.2 % (12.9 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
5.2 % (4.02 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.7 % (2.8 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
8 % (35.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 % (3.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
5.7 % (3.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
20.2 (68.4) % (0.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
4.2 % (6.53 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
5.7 % (19.06 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
30.1 % (51.34 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
21.9 % (52.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
10.4 % (6.94 % lower than average)
vs
17.34 %



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