Compare with other Nursing Homes USA
Compare
Compare
| WINDMILL MANOR | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
64 (27.38 lower than average)
|
vs |
91.38
|
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| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 03/28/2012 date Of Correction: 04/17/2012 |
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| Deficiency #2 |
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: 03/28/2012 date Of Correction: 04/17/2012 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 12/30/2011 date Of Correction: 01/06/2012 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition. survey Date: 12/30/2011 date Of Correction: 01/06/2012 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests. survey Date: 11/08/2011 date Of Correction: 01/06/2012 |
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| Deficiency #6 |
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: 11/08/2011 date Of Correction: 01/06/2012 |
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| Deficiency #7 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 07/23/2010 date Of Correction: 08/23/2010 |
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| Deficiency #8 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 07/23/2010 date Of Correction: 08/23/2010 |
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| Deficiency #9 |
Scope: Few level Of Harm: 4 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 11/08/2011 date Of Correction: 01/06/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 11/08/2011 date Of Correction: 01/06/2012 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 09/29/2011 date Of Correction: 10/27/2011 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Deficiency #5 |
Scope: Few level Of Harm: 2 deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home. survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 12/30/2011 date Of Correction: 01/06/2012 |
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| 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: 12/30/2011 date Of Correction: 01/06/2012 |
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| Deficiency #3 |
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: 12/30/2011 date Of Correction: 01/06/2012 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 12/30/2011 date Of Correction: 01/06/2012 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 11/08/2011 date Of Correction: 01/06/2012 |
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| Deficiency #6 |
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: 11/08/2011 date Of Correction: 01/06/2012 |
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| Deficiency #7 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 11/08/2011 date Of Correction: 01/06/2012 |
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| Deficiency #8 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 09/29/2011 date Of Correction: 10/27/2011 |
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| Deficiency #9 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 09/29/2011 date Of Correction: 10/27/2011 |
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| Deficiency #10 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/22/2011 date Of Correction: 08/15/2011 |
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| Deficiency #11 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/22/2011 date Of Correction: 08/15/2011 |
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| Deficiency #12 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 07/23/2010 date Of Correction: 08/23/2010 |
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| Deficiency #13 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Deficiency #14 |
Scope: Few level Of Harm: 2 deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being. survey Date: 02/24/2010 date Of Correction: 03/26/2010 |
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| Deficiency #15 |
Scope: Few level Of Harm: 2 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 02/24/2010 date Of Correction: 03/26/2010 |
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| Deficiency #16 |
Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 02/24/2010 date Of Correction: 03/26/2010 |
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| Deficiency #17 |
Scope: Some level Of Harm: 1 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 10/01/2009 date Of Correction: 10/02/2009 |
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| Deficiency #18 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 04/22/2009 date Of Correction: 04/23/2009 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Make Sure That Doctors Visit Residents Regularly, As Required. survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Ensure That All Full-time Nurse Aids Employed For More Than 4 Months Are Fully Trained And Competent To Provide Nursing And Nursing-related Services, As Defined By Federal Requirements. survey Date: 11/08/2011 date Of Correction: 01/06/2012 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Employ Qualified Full-time, Part-time Or Consultant Professionals That Must Be Licensed, Certified, Or Registered Staff To Give Needed Services. survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews. survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Deficiency #4 |
Scope: Some level Of Harm: 2 deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards. survey Date: 04/22/2010 date Of Correction: 05/18/2010 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards. survey Date: 02/24/2010 date Of Correction: 03/26/2010 |
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| Nutrition and Dietary Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day. survey Date: 08/10/2011 date Of Correction: 08/15/2011 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
11.5 % (13.59 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased | 7.9:1 % | ||||
| Percent of long-stay residents who self-report moderate to severe pain | 5.6:1 % | ||||
| Percent of long-stay high-risk residents with pressure ulcers |
14.3 % (1.72 % higher than average)
|
vs |
12.58 %
|
||
| Percent of long-stay residents who lose too much weight |
7.8 % (4.03 % lower than average)
|
vs |
11.83 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2 % (13.63 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
3.9 % (9.56 % lower than average)
|
vs |
13.46 %
|
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| Percent of long-stay residents who have depressive symptoms |
75.2 % (46.82 % higher than average)
|
vs |
28.38 %
|
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| Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
26.9 % (1.88 % higher than average)
|
vs |
25.02 %
|
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| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
70.2 % (14.44 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
87.9 % (3.96 % higher than average)
|
vs |
83.94 %
|
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| Percent of short-stay residents who newly received an antipsychotic medication |
2.7 % (43.2 % lower than average)
|
vs |
45.90 %
|
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| Percent of long-stay residents experiencing one or more falls with major injury |
1.9 % (13.62 % lower than average)
|
vs |
15.52 %
|
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| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication | 11.6:1 % | ||||
| Percent of long-stay residents whose need for help with daily activities has increased |
4.7 % (19 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
5.5 % (8.6 % lower than average)
|
vs |
14.10 %
|
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| Percent of long-stay high-risk residents with pressure ulcers |
10.2 % (0.98 % higher than average)
|
vs |
9.22 %
|
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| Percent of long-stay residents who lose too much weight |
6.2 % (2.3 % lower than average)
|
vs |
8.50 %
|
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| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
30.2 % (13.18 % lower than average)
|
vs |
43.38 %
|
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| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.3 % (8.35 % lower than average)
|
vs |
10.65 %
|
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| Percent of long-stay residents with a urinary tract infection |
4.1 % (5.48 % lower than average)
|
vs |
9.58 %
|
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| Percent of long-stay residents who have depressive symptoms |
2.1 % (17.76 % lower than average)
|
vs |
19.86 %
|
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| 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 |
1.3 % (9.43 % lower than average)
|
vs |
10.73 %
|
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| Percent of short-stay residents who self-report moderate to severe pain |
29.1 % (4.34 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
66.7 % (14.74 % lower than average)
|
vs |
81.44 %
|
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| Percent of short-stay residents with Pressure ulcers that are new or worsened |
78.1 % (3.35 % higher than average)
|
vs |
74.75 %
|
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| Percent of short-stay residents who newly received an antipsychotic medication |
35.3 % (17.96 % higher than average)
|
vs |
17.34 %
|
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