WINDSOR PARK MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Windsor Park Manor. 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

WINDSOR PARK MANOR
110 WINDSOR PARK DRIVE
CAROL STREAM, IL 60188
(630) 510-5200

Nursing Home Ratings

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

Percent of Beds Occupied

50%

Number of Residents and Certified Beds

  • Residents: 16
  • Certified Beds: 32

This Facility Accepts

  • Medicare

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Wheaton | Winfield | West Chicago

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 "Ultra-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 Windsor Park Manor. 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: 2-103.2%
Total Percent:3.2%
 

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: 2-104.1%
Total Percent:4.1%
 

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: 11-165.2%
ADL Index Range: 6-1023.8%
ADL Index Range: 0-535.6%
Total Percent:64.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.2%
ADL Index Range: 6-106.1%
ADL Index Range: 0-57.3%
Total Percent:13.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-54.5%
Total Percent:4.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.3%
ADL Index Range: 6-101.1%
ADL Index Range: 0-53.9%
Total Percent:7.3%
 

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: 6-10
- No Signs of depression
1.1%
Total Percent:1.1%
 

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: 11-14
- No Signs of depression
1.6%
Total Percent:1.6%
 

Rating Details For Windsor Park Manor

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) Hours2 Hours and 56 Minutes1 Hour and 35 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours46 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 45 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours2 Hours and 56 Minutes2 Hours and 21 Minutes
Total Nurse Hours5 Hours and 41 Minutes4 Hours and 42 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

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%80%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium3%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain24%20%
Percent of Short-Stay Residents Who Have Pressure Sores13%13%

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 02/09/2011.

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

Administration

Post Nurse Staffing Information.
  • Inspection Date: 02/09/2011
  • Correction Date: 02/28/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/09/2011
  • Correction Date: 02/28/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 02/09/2011
  • Correction Date: 02/28/2011

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 03/05/2010
  • Correction Date: 04/02/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/09/2011
  • Correction Date: 02/28/2011

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/05/2010
  • Correction Date: 04/02/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/09/2011
  • Correction Date: 02/28/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/05/2010
  • Correction Date: 04/02/2010

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: 02/06/2009
  • Correction Date: 03/09/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/09/2009

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 Windsor Park Manor 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 02/18/2011.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/11/2009
Portable Fire Extinguishers.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/11/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/22/2010
  • Correction Date: 06/01/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/18/2011
  • Correction Date: 02/19/2011

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/18/2009
A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 04/22/2010
  • Correction Date: 05/10/2010
Fire-Resistant Interior Walls.
  • Inspection Date: 04/22/2010
  • Correction Date: 06/04/2010
Approved Construction Type or Materials.
  • Inspection Date: 02/18/2011
  • Correction Date: 04/04/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/12/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/12/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/11/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 04/22/2010
  • Correction Date: 06/01/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/11/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/22/2010
  • Correction Date: 06/01/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 02/18/2011
  • Correction Date: 03/31/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/22/2010
  • Correction Date: 06/01/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/18/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/22/2010
  • Correction Date: 05/10/2010
Source: Medicare Nursing Home Compare; Illinois Department of Public Health - Retrieved 2011