Compare with other Nursing Homes USA
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WINDSOR WOODS REHABILITATION AND HEALTHCARE CENTER | VS | All other Nursing Homes USA |
Staff Information | |||||
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Number of Residents |
95 (3.62 higher than average)
|
vs |
91.38
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Number of RN Hours Per Resident Per Day |
0.5 - 2.0 (0.27 lower than average)
|
vs |
0.77
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||
Number of LPN/LVN Hours Per Resident Per Day |
0.69 (0.15 lower than average)
|
vs |
0.84
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Total Number of Licensed Staff Hours Per Resident Per Day |
1.19 (0.4 lower than average)
|
vs |
1.59
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Number of CNA Hours Per Resident Per Day |
0.06 (5.43 lower than average)
|
vs |
5.49
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Number Therapy Hours Per Resident Per Day |
0.06 (0.04 lower than average)
|
vs |
0.10
|
Environmental Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 10/20/2011 date Of Correction: 11/11/2011 |
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Deficiency #2 |
Scope: Some level Of Harm: 1 deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment. survey Date: 09/13/2011 date Of Correction: 09/28/2011 |
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Deficiency #3 |
Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 09/09/2010 date Of Correction: 10/09/2010 |
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Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 01/28/2010 date Of Correction: 02/28/2010 |
Resident Rights Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization. survey Date: 01/30/2012 date Of Correction: 02/04/2012 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Try To Resolve Each Resident's Complaints Quickly. survey Date: 01/30/2012 date Of Correction: 02/04/2012 |
Quality Care Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 04/02/2010 date Of Correction: 05/02/2010 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 04/02/2010 date Of Correction: 05/02/2010 |
Resident Assessment Deficiencies | |||||
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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: 01/28/2010 date Of Correction: 02/28/2010 |
Administration Deficiencies | |||||
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Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents. survey Date: 01/30/2012 date Of Correction: 02/04/2012 |
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Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests. survey Date: 04/02/2010 date Of Correction: 05/02/2010 |
Pharmacy Service Deficiencies | |||||
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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: 01/28/2010 date Of Correction: 02/28/2010 |
Quality Measures Q1 | |||||
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Percent of long-stay residents who received an antipsychotic medication |
38.6 % (13.51 % higher than average)
|
vs |
25.09 %
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Percent of long-stay residents whose need for help with daily activities has increased |
1 % (31.95 % lower than average)
|
vs |
32.95 %
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Percent of long-stay residents who self-report moderate to severe pain | 14.7:1 % | ||||
Percent of long-stay high-risk residents with pressure ulcers |
4.2 % (8.38 % lower than average)
|
vs |
12.58 %
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Percent of long-stay residents who lose too much weight |
6 % (5.83 % lower than average)
|
vs |
11.83 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.6 % (12.03 % lower than average)
|
vs |
15.63 %
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Percent of long-stay residents with a urinary tract infection |
10.8 % (2.66 % lower than average)
|
vs |
13.46 %
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Percent of long-stay residents who have depressive symptoms |
1.2 % (27.18 % lower than average)
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vs |
28.38 %
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Percent of long-stay residents who were physically restrained | 12.8:1 % | ||||
Percent of short-stay residents who self-report moderate to severe pain |
24.3 % (0.72 % lower than average)
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vs |
25.02 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
70.7 % (13.94 % lower than average)
|
vs |
84.64 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
70.9 % (13.04 % lower than average)
|
vs |
83.94 %
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Percent of short-stay residents who newly received an antipsychotic medication |
75.2 (29.3 higher than average)
|
vs |
45.90
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Percent of long-stay residents experiencing one or more falls with major injury |
75.2 % (59.68 % higher than average)
|
vs |
15.52 %
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Quality Measures Q3 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
37.7 % (12.31 % higher than average)
|
vs |
25.39 %
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Percent of long-stay residents whose need for help with daily activities has increased |
3.4 % (20.3 % lower than average)
|
vs |
23.70 %
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Percent of long-stay residents who self-report moderate to severe pain |
24.7 % (10.6 % higher than average)
|
vs |
14.10 %
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Percent of long-stay high-risk residents with pressure ulcers |
5 % (4.22 % lower than average)
|
vs |
9.22 %
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Percent of long-stay residents who lose too much weight |
7.6 % (0.9 % lower than average)
|
vs |
8.50 %
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Percent of long-stay low-risk residents who lose control of their bowels or bladder |
18.5 % (24.88 % lower than average)
|
vs |
43.38 %
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Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.7 % (6.95 % lower than average)
|
vs |
10.65 %
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||
Percent of long-stay residents with a urinary tract infection |
15.5 % (5.92 % higher than average)
|
vs |
9.58 %
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Percent of long-stay residents who have depressive symptoms |
4.3 % (15.56 % lower than average)
|
vs |
19.86 %
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Percent of long-stay residents who were physically restrained |
12.2 % (26.33 % lower than average)
|
vs |
38.53 %
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Percent of long-stay residents experiencing one or more falls with major injury |
1.6 % (9.13 % lower than average)
|
vs |
10.73 %
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Percent of short-stay residents who self-report moderate to severe pain |
33.7 % (8.94 % higher than average)
|
vs |
24.76 %
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Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
58.3 % (23.14 % lower than average)
|
vs |
81.44 %
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Percent of short-stay residents with Pressure ulcers that are new or worsened |
48.4 % (26.35 % lower than average)
|
vs |
74.75 %
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Percent of short-stay residents who newly received an antipsychotic medication |
3.2 % (14.14 % lower than average)
|
vs |
17.34 %
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