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WINDSOR ROSEWOOD CARE CENTER

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WINDSOR ROSEWOOD CARE CENTER VS
All other Nursing Homes USA
General
City PLEASANT HILL   vs 0% Nursing Homes USA have PLEASANT HILL
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 1911 OAK PARK BLVD.  
Zip Code 94523  
Phone 9259356630  
Overall Star Rating
(0.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
113  (4.06 higher than average)
vs
108.94

Total Number of Residents
100  (8.75 higher than average)
vs
91.25

Percent of Occupied Beds
88 % (4.35 % higher than average)
vs
83.65 %

Health Survey Date 5/27/2011  
Fire Survey Date 6/7/2011  
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 - 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? 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 5  
Staff Information
Number of Residents
100  (8.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.71  (0.06 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.56  (0.28 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.26  (0.33 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.1  (5.39 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.1  (equals average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Provide Rooms That Are At Least 80 Square Feet Per Resident In Multiple Rooms And 100 Square Feet For Single Resident Rooms.
survey Date: 03/01/2012
date Of Correction: 03/02/2012 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.
survey Date: 02/12/2010
date Of Correction: 03/11/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients.
survey Date: 09/10/2009
date Of Correction: 10/07/2009 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/10/2009
date Of Correction: 10/07/2009 

Pharmacy Service Deficiencies
Deficiency #1 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: 09/10/2009
date Of Correction: 10/07/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
18.6 (65.5) % (6.49 % lower 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
9.5 % (7.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
3.1 % (9.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
5.1 % (6.73 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.8 % (12.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
2.5 % (10.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
18.5 % (9.88 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.5 % (41.18 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
32.5 % (7.48 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 % (15.36 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
100 % (16.06 % higher than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
12.9 (55.2) % (33 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (14.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.4 % (2.01 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.5 - 2.0 % (23.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
6.9 % (7.2 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
1 % (8.22 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.1 % (2.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
38.4 % (4.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.7 % (8.95 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
4.2 % (5.38 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
18.7 % (1.16 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.20 % (36.33 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
1.9 % (8.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
30.5 % (5.74 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
99.4 % (17.96 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
98.8 % (24.05 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
18.4 % (1.06 % higher than average)
vs
17.34 %



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