THE WESTWOOD MANOR

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 08/19/2010.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/04/2009 Correction Date: 10/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/04/2009 Correction Date: 10/01/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 09/04/2009 Correction Date: 10/01/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 09/04/2009 Correction Date: 10/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/19/2010 Correction Date: 08/30/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/04/2009 Correction Date: 10/01/2009

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 09/04/2009 Correction Date: 10/01/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/04/2009 Correction Date: 10/01/2009

Pharmacy Service

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: 08/19/2010 Correction Date: 08/30/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 08/19/2010 Correction Date: 08/30/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 09/10/2008 Correction Date: 09/11/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/10/2008 Correction Date: 09/10/2008
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: 09/10/2008 Correction Date: 09/25/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/04/2009 Correction Date: 10/01/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/04/2009 Correction Date: 10/01/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/19/2010 Correction Date: 09/01/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 08/19/2010 Correction Date: 09/02/2010

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: 09/04/2009 Correction Date: 10/01/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/04/2009 Correction Date: 10/01/2009

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

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Complaint Filed: 07/03/2008 Correction Date: 07/15/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 07/03/2008 Correction Date: 09/11/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 01/22/2010 Correction Date: 02/15/2010

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 The Westwood 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 08/20/2010.

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 09/20/2008 Correction Date: 09/26/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/11/2009 Correction Date: 10/15/2009

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 08/20/2010 Correction Date: 09/06/2010