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WINDSOR VALLEJO NURSING & REHABILITATION CENTER

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WINDSOR VALLEJO NURSING & REHABILITATION CENTER VS
Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City VALLEJO   0% Nursing Homes USA have VALLEJO
State attribute explanation CA   7.8% Nursing Homes USA have CA
Street 2200 TUOLUMNE STREET  
Zip Code 94589  
Phone 7076447401  
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
166 
108.94
Total Number of Residents
130 
91.25
Percent of Occupied Beds
78 %
83.65 %
Health Survey Date 9/23/2011  
Fire Survey Date 9/20/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully 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? Yes  54.9% Nursing Homes USA 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 7  
Staff Information
Number of Residents
130 
91.38
Number of RN Hours Per Resident Per Day
0.76 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.78 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.55 
1.59
Number of CNA Hours Per Resident Per Day
0.21 
5.49
Number Therapy Hours Per Resident Per Day
0.21 
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 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
8.7 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
7.2 %
12.58 %
Percent of long-stay residents who lose too much weight
13 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9 %
13.46 %
Percent of long-stay residents who have depressive symptoms
3.8 %
28.38 %
Percent of long-stay residents who were physically restrained
1.9 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
42.9 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.6 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
4.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
16.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.9 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
9.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
8 %
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 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.4 %
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 %
19.86 %
Percent of long-stay residents who were physically restrained
2.4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
44.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
2.8 %
17.34 %

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