WINDSOR VALLEJO NURSING & REHABILITATION CENTER

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General
Percent of short-stay residents with Pressure ulcers that are new or worsened	75.2 %
City	VALLEJO	vs	0% Nursing Homes USA have VALLEJO
State attribute explanation	CA	vs	7.8% Nursing Homes USA have CA
Street	2200 TUOLUMNE STREET
Zip Code	94589
Phone	7076447401
Overall Star Rating	4 (0.89 higher than average)	vs	3.11	Compare similar Overall Star Rating (4)
Health Inspections Star Rating	3 (0.17 higher than average)	vs	2.83	Compare similar Health Inspections Star Rating (3)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	166 (57.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (166)
Total Number of Residents	130 (38.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (130)
Percent of Occupied Beds	78 % (5.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (78) %
Health Survey Date	9/23/2011
Fire Survey Date	9/20/2011
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	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar 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	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	7

Staff Information
Number of Residents	130 (38.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.76 (0.01 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	1.55 (0.04 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.21 (5.28 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.21 (0.11 higher than average)	vs	0.10

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 09/15/2010 date Of Correction: 11/04/2010
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 07/23/2009 date Of Correction: 11/04/2010
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 06/27/2009 date Of Correction: 04/23/2010

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 3 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 04/23/2009 date Of Correction: 11/12/2009
Deficiency #2		Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 04/23/2009 date Of Correction: 11/12/2009
Deficiency #3		Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 04/23/2009 date Of Correction: 11/12/2009

Exits and Egress Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Exits That Are Accessible At All Times. survey Date: 02/29/2012 date Of Correction: 03/29/2012

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	17.3:1 %
Percent of long-stay residents whose need for help with daily activities has increased	1.50 % (31.45 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	8.7 % (7.96 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	7.2 % (5.38 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	13 % (1.17 % higher than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.5 % (10.13 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	9 % (4.46 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	3.8 % (24.58 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	1.9 % (41.78 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	42.9 % (17.88 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	86.4 % (1.76 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	93.6 % (9.66 % higher than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	4.2 % (41.7 % lower than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	1 % (14.52 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	16.5 % (8.89 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	0.9 % (22.8 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	9.3 % (4.8 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	8 % (1.22 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	10.7:1 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	44.3 % (0.92 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5.4 % (5.25 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	13.1:1 %
Percent of long-stay residents who have depressive symptoms	3.4 % (16.46 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	2.4 % (36.13 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	1.7 % (9.03 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	44.3 % (19.54 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	90.7 % (9.26 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	95.7 % (20.95 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	2.8 % (14.54 % lower than average)	vs	17.34 %