Compare with other Nursing Homes USA
Compare
Compare
WINDSOR MISSION OAKS | VS | All other Nursing Homes USA |
Staff Information | |||||
---|---|---|---|---|---|
Number of Residents |
133 (41.62 higher than average)
|
vs |
91.38
|
||
Number of RN Hours Per Resident Per Day |
0.2 (0.57 lower than average)
|
vs |
0.77
|
||
Number of LPN/LVN Hours Per Resident Per Day |
0.78 (0.06 lower than average)
|
vs |
0.84
|
||
Total Number of Licensed Staff Hours Per Resident Per Day |
0.99 (0.6 lower than average)
|
vs |
1.59
|
||
Number of CNA Hours Per Resident Per Day |
0.01 (5.48 lower than average)
|
vs |
5.49
|
||
Number Therapy Hours Per Resident Per Day |
0.01 (0.09 lower than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 1 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 05/21/2010 date Of Correction: 06/21/2010 |
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Deficiency #2 |
Scope: Some 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: 06/04/2009 date Of Correction: 07/06/2009 |
Mistreatment Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 4 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 06/04/2009 date Of Correction: 07/06/2009 |
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Deficiency #2 |
Scope: Some level Of Harm: 4 deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property. survey Date: 06/04/2009 date Of Correction: 07/06/2009 |
Quality Care Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Provide Or Obtain Dental Services For Each Resident. survey Date: 10/15/2010 date Of Correction: 10/22/2010 |
Resident Assessment Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
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: 06/04/2009 date Of Correction: 07/06/2009 |
Administration Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Many level Of Harm: 1 deficiency: Post Nurse Staffing Information/data On A Daily Basis. survey Date: 05/21/2010 date Of Correction: 06/21/2010 |
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Deficiency #2 |
Scope: Some level Of Harm: 4 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 06/04/2009 date Of Correction: 07/06/2009 |
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Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs. survey Date: 06/04/2009 date Of Correction: 07/06/2009 |
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Deficiency #4 |
Scope: Some level Of Harm: 4 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 06/04/2009 date Of Correction: 07/06/2009 |
Pharmacy Service Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 4 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 06/04/2009 date Of Correction: 07/06/2009 |
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Deficiency #2 |
Scope: Few level Of Harm: 4 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 06/04/2009 date Of Correction: 07/06/2009 |
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Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 06/04/2009 date Of Correction: 07/06/2009 |
Quality Measures Q1 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
67.3 % (42.21 % higher than average)
|
vs |
25.09 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
1.7 % (10.88 % lower than average)
|
vs |
12.58 %
|
||
Percent of long-stay residents who lose too much weight |
1.7 % (10.13 % lower than average)
|
vs |
11.83 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
40.7 % (3.84 % lower than average)
|
vs |
44.54 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
0.9 % (14.73 % lower than average)
|
vs |
15.63 %
|
||
Percent of long-stay residents with a urinary tract infection |
5 % (8.46 % lower than average)
|
vs |
13.46 %
|
||
Percent of long-stay residents who have depressive symptoms |
1.7 % (26.68 % 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 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 |
1.7 % (13.82 % lower than average)
|
vs |
15.52 %
|
Quality Measures Q3 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
68.9 % (43.51 % higher than average)
|
vs |
25.39 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % (51.5 % higher than average)
|
vs |
23.70 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
13 % (1.1 % lower than average)
|
vs |
14.10 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
1.2 % (8.02 % lower than average)
|
vs |
9.22 %
|
||
Percent of long-stay residents who lose too much weight |
3.1 % (5.4 % lower than average)
|
vs |
8.50 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
36.9 % (6.48 % lower than average)
|
vs |
43.38 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1 % (9.65 % lower than average)
|
vs |
10.65 %
|
||
Percent of long-stay residents with a urinary tract infection |
2.8 % (6.78 % lower than average)
|
vs |
9.58 %
|
||
Percent of long-stay residents who have depressive symptoms |
9.1 % (10.76 % lower 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 |
23.9 % (13.17 % higher than average)
|
vs |
10.73 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
11.1 % (13.66 % lower than average)
|
vs |
24.76 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
32.7 (90.9) % (42.05 % lower than average)
|
vs |
74.75 %
|