Pavilion of Waukegan

Pavilion of Waukegan, 2217 Washington Street, Waukegan, Illinois 60085

Pavilion of Waukegan is located in the northern Chicago suburb of Waukegan, Illinois which lies approximately 44.1 miles from the center of the City of Chicago. Pavilion of Waukegan has 112 certified beds that participates in both Medicare and Medicaid. It is not within a Continuing Care Retirement Community. Pavilion of Waukegan has a resident council only. The overall rating for the facility is above average receiving four out of five stars. The ownership of Pavilion of Waukegan is a for-profit corporation.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. The health inspection rating for Pavilion of Waukegan is above average. The most recent health inspection report was filed on May 9, 2018 resulting in 7 citations. Based on that inspection, the level of harm to residents is considered minimal although some residents could be affected. Residents affected describes the largest number of residents that were or could be affected by any instance of nursing home noncompliance.

The previous standard health inspection report was filed on June 14, 2017 resulting in 5 health citations. The average number of health citations in Illinois is 6.2. The average number of health citations in the U.S. is 5.8. in addition to the regularly scheduled health inspections, a complaint inspection will take place in the event that a resident, loved one or an individual reports noncompliance or some nursing home abuse to the Illinois Department of Health and Human Services. Such a report was submitted on December 27, 2017. There was one complaint in the past three years that resulted in a citation.

The staffing rating for Pavilion of Waukegan is below average. The total number of licensed nurse staff hours per resident per day at Pavilion of Waukegan is 1 hour and 8 minutes. The Illinois average is 1 hour and 25 minutes, with the national average being 1 hour and 33 minutes. The registered nurse hours per resident per day at Pavilion of Waukegan is 35 minutes. The Illinois average is 47 minutes, with the national average being 40 minutes. The physical therapy staff hours per resident per day at Pavilion of Waukegan is 7 minutes. The Illinois average is 6 minutes, with the national average being 7 minutes. The registered nurse staffing rating at Pavilion of Waukegan is average.

The quality of resident care rating is considered average. 68.9% of Pavilion of Waukegan’s short-stay residents improved in their ability to move around on their own. The Illinois average is 64.8%, with the national average being 67.9%. 26.6% of Pavilion of Waukegan’s short-stay residents were re-hospitalized after a nursing home admission. The Illinois average is 24.4%, with the national average being 22.4%. 68.1% of Pavilion of Waukegan’s short-stay residents were successfully discharged to the community. The Illinois average is 53.4%, with the national average being 56.4%. 94.3% of the facility’s short-stay residents received a needed vaccine to prevent pneumonia. The Illinois and national averages were both lower at 74.9% and 83.3%, respectively.

8% of Pavilion of Waukegan’s long-stay high-risk residents developed or have pressure ulcers. The Illinois averages is 5.9%, with the national average being 5.6%. 4.2% of Pavilion of Waukegan’s long-stay residents have or had a catheter inserted and left in during their residency. This percentage is considerably higher than the Illinois and national averages which stand at 2.1% and 1.8%, respectively. 15.5% of Pavilion of Waukegan’s long-stay residents had an increased need for help with daily activities. The Illinois average is 14%, with the national average being 15%. 95.6% of the facility’s long-stay residents received a needed flu shot for current flu season. The Illinois average is 92.7% with the national average being 95.1%.

Pavilion of Waukegan did not receive any nursing home fines in the last 3 years. It was noted that there was neither a federal fine nor an Illinois state fine during that 3-year period.

1 Vital Statistics
Number of Beds: 112 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2 Key Ratings
Star Rating Summary
Overall Rating information

A rating of 1 to 5 stars based on the health inspection, staffing, and quality measures ratings combined into one. More stars are better.

Four StarsAbove Average
Health Inspection information

A rating of 1 to 5 stars based on the nursing home’s health inspection results. More stars are better.

Four StarsAbove Average
Staffing information

A rating of 1 to 5 stars based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Certified Nursing Assistants (CNAs). More stars are better.

Two StarsAverage
RN Staffing information

A rating of 1 to 5 stars based on the amount of time Registered Nurses (RNs) spend with residents as reported by the nursing home. More stars are better.

Three StarsAverage
Quality Measures information

A rating of 1 to 5 stars based on resident assessment data that show how well the nursing home cares for residents’ needs. More stars are better.

Three StarsAverage
3 Key Short Stay Statistics
DescriptionPavilion of WaukeganIllinois
Average
Percent of short-stay residents who self-report moderate to severe pain.
Lower percentages are better.
7.1%10.5%
Percent of short-stay residents with pressure ulcers that are new or worsened.
Lower percentages are better.
1.4%1.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
Higher percentages are better.
87.6%73.0%
Percentage of short-stay residents who needed and got a vaccine to prevent pneumonia.
Higher percentages are better.
94.3%74.9%
Percentage of short-stay residents who got antipsychotic medication for the first time.
Lower percentages are better.
4.3%2.2%
4 Key Long Stay Statistics
DescriptionPavilion of WaukeganIllinois
Average
Percentage of long-stay residents experiencing one or more falls with major injury.
Lower percentages are better.
3.5%3.4%
Percentage of long-stay residents with a urinary tract infection.
Lower percentages are better.
4.7%3.4%
Percentage of long-stay residents who self-report moderate to severe pain.
Lower percentages are better.
3.5%4.1%
Percentage of long-stay high-risk residents with pressure ulcers.
Lower percentages are better.
8.0%5.9%
Percentage of long-stay low-risk residents who lose control of their bowels or bladder.
Lower percentages are better.
56.3%45.2%
Percentage of long-stay residents who have/had a catheter inserted and left in their bladder.
Lower percentages are better.
4.2%2.1%
Percentage of long-stay residents who were physically restrained.
Lower percentages are better.
0.3%0.4%
Percentage of long-stay residents whose ability to move independently worsened.
Lower percentages are better.
17.9%17.1%
Percentage of long-stay residents whose need for help with daily activities has increased.
Lower percentages are better.
15.5%14.0%
Percentage of long-stay residents who lose too much weight.
Lower percentages are better.
7.7%7.8%
Percentage of long-stay residents who have depressive symptoms.
Lower percentages are better.
50.6%18.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication.
Lower percentages are better.
14.4%21.2%
Percentage of long-stay residents who needed and got a flu shot for the current flu season.
Higher percentages are better.
95.6%92.7%
Percentage of long-stay residents assessed and given, appropriately, the pneumococcal vaccine.
Higher percentages are better.
100.0%90.3%
Percentage of long-stay residents who received an antipsychotic medication.
Lower percentages are better.
14.0%19.2%
5 Inspection Summary

Date of standard health inspection: 05/15/2018
Total number of health deficiencies: 13
Average number of health deficiencies in Illinois: 5.6

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