WINDMILL NURSING PAVILION

The information listed below provides an in-depth look into the type and quality of care offered at Windmill Nursing Pavilion. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WINDMILL NURSING PAVILION
16000 SOUTH WABASH
SOUTH HOLLAND, IL 60473
(708) 339-0600

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 136
  • Certified Beds: 150

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Dolton | Harvey | Homewood

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Windmill Nursing Pavilion. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-103.4%
Total Percent:3.4%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-103.8%
Total Percent:3.8%
 

Low Rehabilitation Plus Extensive Services

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-161.7%
Total Percent:1.7%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 6-1010.1%
ADL Index Range: 0-512.1%
Total Percent:22.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1013.3%
ADL Index Range: 0-533.4%
Total Percent:46.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.5%
ADL Index Range: 0-54.0%
Total Percent:8.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-53.2%
Total Percent:3.2%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-100.7%
Total Percent:0.7%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.8%
Total Percent:0.8%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- Signs of depression
6.5%
ADL Index Range: 11-14
- No Signs of depression
0.8%
ADL Index Range: 6-10
- No Signs of depression
1.3%
Total Percent:8.6%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
0.4%
Total Percent:0.4%
 

Rating Details For Windmill Nursing Pavilion

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours26 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours39 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 38 Minutes2 Hours and 12 Minutes
Total Licensed Nurse Hours1 Hour and 4 Minutes1 Hour and 39 Minutes
Total Nurse Hours2 Hours and 42 Minutes3 Hours and 51 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Illinois are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIllinois Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season80%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination78%85%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained1%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%14%
Percent of Long-Stay Residents Who Lose Too Much Weight11%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder61%44%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%16%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination76%80%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season89%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores20%13%
Percent of Short-Stay Residents Who Have Delirium3%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain21%20%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/10/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/24/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/13/2009
  • Correction Date: 01/15/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/04/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/19/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 12/10/2010
  • Correction Date: 12/14/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/04/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/04/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 12/10/2010
  • Correction Date: 12/14/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/20/2008
  • Correction Date: 11/26/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 11/13/2009
  • Correction Date: 11/23/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 12/10/2010
  • Correction Date: 01/11/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/09/2008$4,810
Civil Money Penalty (CMP)03/09/2009$4,875
Civil Money Penalty (CMP)11/13/2009$16,380

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Windmill Nursing Pavilion, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled.
  • Complaint Filed: 10/02/2008
  • Correction Date: 10/24/2008

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 10/02/2008
  • Correction Date: 10/24/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/09/2009
  • Correction Date: 04/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/04/2011
  • Correction Date: 01/24/2011

Mistreatment

1) Hire Only People Who Have 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.
  • Complaint Filed: 01/04/2011
  • Correction Date: 01/24/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/02/2008
  • Correction Date: 06/19/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 09/09/2008
  • Correction Date: 10/01/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 10/02/2008
  • Correction Date: 11/26/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 10/02/2008
  • Correction Date: 10/24/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/02/2008
  • Correction Date: 11/26/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 06/17/2009
  • Correction Date: 06/24/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 01/04/2011
  • Correction Date: 01/24/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Windmill Nursing Pavilion had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/20/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/23/2008
  • Correction Date: 11/18/2008

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/20/2011
  • Correction Date: 03/01/2011
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 01/20/2011
  • Correction Date: 03/01/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/23/2008
  • Correction Date: 01/15/2009
An Automatic Smoke Detection System in All Hallways.
  • Inspection Date: 01/20/2011
  • Correction Date: 02/01/2011
Source: Medicare Nursing Home Compare; Illinois Department of Public Health - Retrieved 2011