WEST WOODS OF NILES

The information listed below provides an in-depth look into the type and quality of care offered at West Woods of Niles. 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

WEST WOODS OF NILES
1211 STATE LINE RD
NILES, MI 49120
(269) 684-2810

Nursing Home Ratings

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

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 111
  • Certified Beds: 121

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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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 West Woods of Niles. 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

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-161.8%
ADL Index Range: 6-103.3%
ADL Index Range: 0-513.7%
Total Percent:18.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.0%
ADL Index Range: 6-1030.7%
ADL Index Range: 0-527.6%
Total Percent:64.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.7%
ADL Index Range: 6-103.0%
ADL Index Range: 0-54.5%
Total Percent:10.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.1%
ADL Index Range: 6-102.3%
ADL Index Range: 0-51.9%
Total Percent:4.3%
 

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: 6-10
- No Signs of depression
1.0%
Total Percent:1.0%
 

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%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.2%
Total Percent:0.2%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 0-1
- Less restorative nursing
0.8%
Total Percent:0.8%
 

Rating Details For West Woods of Niles

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) Hours33 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours2 Hours and 14 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours47 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours2 Hours and 47 Minutes1 Hour and 44 Minutes
Total Nurse Hours3 Hours and 34 Minutes4 Hours and 9 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 Michigan are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMichigan Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%89%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Long-Stay Residents Who Were Physically Restrained2%5%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder-5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious16%13%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder66%52%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores7%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%84%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium2%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain23%21%
Percent of Short-Stay Residents Who Have Pressure Sores5%11%

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 03/25/2011.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/15/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/19/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/27/2009
  • Correction Date: 04/10/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/15/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/19/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/27/2009
  • Correction Date: 04/10/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/15/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 01/22/2010
  • Correction Date: 02/15/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 03/27/2009
  • Correction Date: 04/10/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 03/27/2009
  • Correction Date: 04/10/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 03/27/2009
  • Correction Date: 04/10/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 03/27/2009
  • Correction Date: 04/10/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/19/2011

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)05/20/2009$1,500

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for West Woods of Niles, 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/20/2009
  • Correction Date: 07/06/2009

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 West Woods of Niles 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 03/24/2011.

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

Automatic Sprinkler Systems

Properly Working Sprinkler Alarm System.
  • Inspection Date: 03/30/2009
  • Correction Date: 04/17/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/05/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 03/30/2009
  • Correction Date: 04/04/2009
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 01/21/2010
  • Correction Date: 01/25/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/07/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/30/2009
  • Correction Date: 03/15/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/30/2009
  • Correction Date: 03/31/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/30/2009
  • Correction Date: 04/04/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/21/2010
  • Correction Date: 01/25/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/30/2009
  • Correction Date: 04/04/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/21/2010
  • Correction Date: 01/25/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/24/2011
  • Correction Date: 04/07/2011
Source: Medicare Nursing Home Compare; Michigan Department of Community Health - Retrieved 2011