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WINDSOR TERRACE HEALTH CARE

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WINDSOR TERRACE HEALTH CARE VS
All other Nursing Homes USA
General
City VAN NUYS   vs 0% Nursing Homes USA have VAN NUYS
State attribute explanation CA   vs 7.8% Nursing Homes USA have CA
Street 7447 SEPULVEDA BLVD  
Zip Code 91405  
Phone 8187873400  
Overall Star Rating
(0.11 lower than average)
vs
3.11

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

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

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

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

Number of Certified Beds
133  (24.06 higher than average)
vs
108.94

Total Number of Residents
119  (27.75 higher than average)
vs
91.25

Percent of Occupied Beds
89 % (5.35 % higher than average)
vs
83.65 %

Health Survey Date 5/2/2012  
Fire Survey Date 5/4/2012  
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 - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
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
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
(6.48 lower than average)
vs
7.48

Staff Information
Number of Residents
119  (27.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.73  (0.04 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
1.06  (0.22 higher than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.79  (0.2 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.26  (5.23 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.26  (0.16 higher than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 05/06/2009
date Of Correction: 05/13/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 18.1:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
1.2 % (31.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3 % (13.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
14.1 % (1.52 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
10.8 % (1.03 % lower than average)
vs
11.83 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 % (8.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
14.5 % (1.04 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.2 % (27.18 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
6.8 % (36.88 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
10 % (15.02 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
55.6 % (29.04 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
48.1 % (35.84 % 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
2.3 % (13.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
19.2 % (6.19 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.6 % (22.1 % 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
13.6-28 % (4.38 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.9 % (1.6 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
25 % (18.38 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.3 % (3.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
13.5 % (3.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
0.4 % (19.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
6.7 % (31.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.4 % (8.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 12.8:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
54 % (27.44 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
48.2 % (26.55 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 19.1:1 % 


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