THE WESTBURY PLACE

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

THE WESTBURY PLACE
5201 S WILLOW DR
HOUSTON, TX 77035
(713) 721-0297

Nursing Home Ratings

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

Percent of Beds Occupied

81%

Number of Residents and Certified Beds

  • Residents: 120
  • Certified Beds: 148

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Bellaire | Pearland | Missouri City

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 The Westbury Place. 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: 11-161.0%
Total Percent:1.0%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 2-100.6%
Total Percent:0.6%
 

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: 11-165.5%
ADL Index Range: 6-1015.5%
ADL Index Range: 0-514.7%
Total Percent:35.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.2%
ADL Index Range: 6-108.4%
ADL Index Range: 0-54.6%
Total Percent:19.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.4%
ADL Index Range: 6-106.2%
ADL Index Range: 0-53.1%
Total Percent:12.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.4%
ADL Index Range: 6-1010.1%
ADL Index Range: 0-51.7%
Total Percent:17.1%
 

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
1.3%
Total Percent:1.3%
 

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: 15-16
- No Signs of depression
4.1%
ADL Index Range: 11-14
- Signs of depression
0.5%
ADL Index Range: 11-14
- No Signs of depression
1.8%
ADL Index Range: 6-10
- Signs of depression
0.2%
ADL Index Range: 6-10
- No Signs of depression
0.7%
Total Percent:7.2%
 

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: 15-16
- No Signs of depression
0.4%
ADL Index Range: 11-14
- No Signs of depression
1.1%
ADL Index Range: 6-10
- No Signs of depression
1.3%
Total Percent:2.8%
 

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: 11-14
- Less restorative nursing
0.9%
ADL Index Range: 6-10
- Less restorative nursing
1.5%
Total Percent:2.4%
 

Rating Details For The Westbury Place

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 24 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours56 Minutes47 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 54 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 21 Minutes2 Hours and 11 Minutes
Total Nurse Hours3 Hours and 15 Minutes4 Hours and 37 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 Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination55%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season75%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%18%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores15%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder72%46%
Percent of Long-Stay Residents Who Lose Too Much Weight19%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%5%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination6%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season30%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain-16%
Percent of Short-Stay Residents Who Have Pressure Sores13%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 03/17/2011.

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

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 04/30/2009
  • Correction Date: 06/03/2009
Post Nurse Staffing Information.
  • Inspection Date: 03/12/2010
  • Correction Date: 03/31/2010
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Hire a Qualified Activities Director.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/18/2011
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/17/2011
  • Correction Date: 06/01/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/30/2009
  • Correction Date: 06/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/18/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010

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: 03/12/2010
  • Correction Date: 04/12/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010

Quality Care

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: 04/30/2009
  • Correction Date: 06/03/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
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: 03/12/2010
  • Correction Date: 04/12/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/12/2010
  • Correction Date: 04/12/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/17/2011
  • Correction Date: 06/01/2011
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: 03/17/2011
  • Correction Date: 04/18/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/17/2011
  • Correction Date: 04/18/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Westbury Place, 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

Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 05/06/2008
  • Correction Date: 06/04/2008
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 01/07/2009
  • Correction Date: 02/10/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 04/30/2009
  • Correction Date: 06/03/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 01/26/2011
  • Correction Date: 03/01/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/07/2009
  • Correction Date: 02/10/2009
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 04/30/2009
  • Correction Date: 06/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/26/2011
  • Correction Date: 02/25/2011
Keep All Essential Equipment Working Safely.
  • Complaint Filed: 01/26/2011
  • Correction Date: 03/01/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011

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: 03/17/2011
  • Correction Date: 04/18/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 04/30/2009
  • Correction Date: 06/03/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 04/30/2009
  • Correction Date: 06/03/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 01/26/2011
  • Correction Date: 02/25/2011

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 04/30/2009
  • Correction Date: 06/03/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 04/30/2009
  • Correction Date: 06/03/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 04/30/2009
  • Correction Date: 06/03/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011
Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 03/17/2011
  • Correction Date: 04/18/2011

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 The Westbury Place 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 03/16/2011.

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: 05/04/2009
  • Correction Date: 06/03/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/04/2009
  • Correction Date: 06/03/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/10/2010
Portable Fire Extinguishers.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/10/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011
Portable Fire Extinguishers.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/04/2009
  • Correction Date: 06/03/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/04/2009
  • Correction Date: 06/03/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/10/2010
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/10/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/10/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/04/2009
  • Correction Date: 06/03/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 05/04/2009
  • Correction Date: 06/03/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/04/2009
  • Correction Date: 06/03/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/10/2010
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/04/2009
  • Correction Date: 06/03/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/10/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/04/2009
  • Correction Date: 06/03/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/18/2011
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011