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WINDMILL NURSING PAVILION

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WINDMILL NURSING PAVILION VS
Nursing Homes USA
General
City SOUTH HOLLAND   0% Nursing Homes USA have SOUTH HOLLAND
State attribute explanation IL   5% Nursing Homes USA have IL
Street 16000 SOUTH WABASH  
Zip Code 60473  
Phone 7083390600  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
150 
108.94
Total Number of Residents
135 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 10/21/2011  
Fire Survey Date 11/30/2011  
Sprinkler Status Not Sprinklered  1.1% Nursing Homes USA have Not Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
135 
91.38
Number of RN Hours Per Resident Per Day
0.51 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.72 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.23 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/04/2011
date Of Correction: 01/24/2011 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 01/04/2011
date Of Correction: 01/24/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 01/04/2011
date Of Correction: 01/24/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/17/2009
date Of Correction: 06/24/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
10.6 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
5.1 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.7 %
12.58 %
Percent of long-stay residents who lose too much weight
13 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
28 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
5.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
92 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
5.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
12 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
6.4 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 8.1 / 8.8 % 
Percent of long-stay residents who lose too much weight
9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
31.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
3.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
75.2 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
6.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
6.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened 9.4 / 10.4 % 
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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