Compare with other Nursing Homes USA
Compare
Compare
| WINDSOR ESTATES NURSING HOME | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
46 (45.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.74 (0.03 lower than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.64 (0.2 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
1.38 (0.21 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
75.2 (69.71 higher than average)
|
vs |
5.49
|
||
| 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: 04/14/2010 date Of Correction: 04/23/2010 |
||||
| 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: 04/14/2010 date Of Correction: 04/23/2010 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
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: 04/14/2010 date Of Correction: 04/23/2010 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Or Obtain Dental Services For Each Resident. survey Date: 11/10/2010 date Of Correction: 12/10/2010 |
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| Deficiency #2 |
Scope: Many level Of Harm: 1 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 11/10/2010 date Of Correction: 12/10/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 11/10/2010 date Of Correction: 12/10/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 11/10/2010 date Of Correction: 12/10/2010 |
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| Deficiency #5 |
Scope: Few level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 04/14/2010 date Of Correction: 04/23/2010 |
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| 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: 11/10/2010 date Of Correction: 12/10/2010 |
||||
| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor. survey Date: 11/10/2010 date Of Correction: 12/10/2010 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 11/10/2010 date Of Correction: 12/10/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 04/14/2010 date Of Correction: 04/23/2010 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
20.5 % (4.59 % lower than average)
|
vs |
25.09 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
11 % (21.95 % lower than average)
|
vs |
32.95 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
25.7 % (9.04 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay residents who lose too much weight |
11.9 % (0.07 % higher than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.2 % (12.43 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
16.7 % (3.24 % higher 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 assessed and given, appropriately, the seasonal influenza vaccine |
70 % (14.64 % lower than average)
|
vs |
84.64 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
85 % (1.06 % higher 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 |
20.9 % (4.49 % lower than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents whose need for help with daily activities has increased |
7.6 % (16.1 % lower than average)
|
vs |
23.70 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
20.2 (68.4) % (6.1 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
11.3 % (2.08 % higher than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight |
10 % (1.5 % higher than average)
|
vs |
8.50 %
|
||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
37.8 % (5.58 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.7 % (7.95 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
19.2 % (9.62 % higher than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
75.2 % (55.34 % 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 |
3.3 % (7.43 % lower than average)
|
vs |
10.73 %
|
||
| Percent of short-stay residents who self-report moderate to severe pain |
34.7 % (9.94 % higher than average)
|
vs |
24.76 %
|
||
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
78 % (3.44 % lower than average)
|
vs |
81.44 %
|
||
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
76.7 % (1.95 % higher than average)
|
vs |
74.75 %
|
||
| Percent of short-stay residents who newly received an antipsychotic medication |
75.2 % (57.86 % higher than average)
|
vs |
17.34 %
|
||