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The Villa at South Holland

The Villa at South Holland, 16300 Wausau Street, South Holland, Illinois 60473

The Villa at South Holland has an overall rating of average. It is located in the Chicago suburb of South Holland, Illinois. The facility has 171 certified beds and participates in both Medicare and Medicaid. The facility is not in a Continuing Care Retirement Community. The Villa at South Holland has a resident council only. Resident and family councils can facilitate communications with the staff which is very valuable to residents and families. Illinois law requires nursing homes to allow councils to be set up by residents and their families. If your nursing home does not have a resident and family council, ask the nursing home administrator why that is the case.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. One such health inspection report was last issued on September 30, 2016. In that report, there were a total of five health deficiencies that were identified. The average number of health deficiencies in Illinois nursing homes is 8.8. The average number of health deficiencies in the U.S. is 7.3. In addition to the regular health inspections, complaint inspections may occur when a resident or family member issues a complaint. One such complaint resulted in a May 25, 2017 report. This covered the period between August 1, 2016 through July 31, 2017. Based upon observation, interview and record review, the facility failed to ensure that call lights were within reach for three of six residents reviewed for accommodation needs. This was the result of the data survey completed on May 25, 2017.

The higher staffing levels in a nursing home may mean higher quality of care for its residents. At The Villa at South Holland, the staffing rating was found to be above average. The total number of registered nurse hours per resident per day at the facility was 49 minutes. The Illinois average in this category is 55 minutes whereas the national average is 50 minutes. The CNA hours per resident per day at The Villa at South Holland is reported to be 2 hours and 58 minutes, which is higher than both the Illinois and national averages, which are 2 hours and 14 minutes and 2 hours and 27 minutes, respectively. The physical therapy staff hours per resident per day at The Villa at South Holland are 14 minutes compared to six minutes for both the Illinois and national averages.

The nursing homes that are certified by Medicare and Medicaid report clinical information for each of their residents to the Centers for Medicare & Medicaid Services (CMS). CMS assigns nursing homes a quality of resident care star rating based on their performance on sixteen measures. These measures reflect how well a nursing home cares for its residents. There is data collected for two groups of residents which include short-stay residents and long-stay residents who spend more than 100 days in the nursing home. Short-stay residents are those who spend less than 100 days at a nursing home. By example, 50.6% of The Villa at South Holland short-stay residents improved in their ability to move around on their own. This compared unfavorably to the Illinois average of 62.4% and the national average of 65.5%. 29.5% of the facility’s short-stay residents were re-hospitalized after a nursing home admission compared to Illinois’ average of 22.5% and the national average of 21.1%. The percentage of short-stay residents who needed and received a vaccine to prevent pneumonia at The Villa at South Holland was shown to be 34.1%, which is much lower than both the Illinois and national averages which are 76.5% and 82.5%, respectively in this category.

11% of The Villa at South Holland’s long-stay high-risk residents developed pressure ulcers. This percentage was much higher than the Illinois average of 5.9%. 92% of the long-stay residents of The Villa at South Holland lose control of their bowels or bladder. This percentage is considerably higher than both the Illinois and national averages which stand at 44% and 47.4%, respectively. 9.7% of The Villa at South Holland long-stay residents had increased need for help with daily activities compared to the Illinois average of 14.4% and the U.S. average of 16.1%. Only 61.7% of the facility’s long-stay residents who needed and received a flu shot for the current flu season received it compared to 92.8% for the Illinois average and 94.7% for the U.S. average.

The Villa at South Holland was fined $14,688 on February 25, 2015. That was the only fine that was shown.

1 Vital Statistics
Number of Beds: 171 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

Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

One Star Much Below Average
Health Inspection information

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

Two Stars Below Average
Staffing information

Medicare assigns the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

One Star Much Below Average
RN Staffing One Star Much Below Average
Quality Measures information

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Three Stars Average
3 Key Short Stay Statistics
Description Villa At South Holland, The Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
4.2% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.3% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
16.2% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
6.6% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
1.5% 2.1%
4 Key Long Stay Statistics
Description Villa At South Holland, The Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.6% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
1.6% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.0% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
21.8% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
89.7% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
6.5% 2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.0% 0.3%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
20.5% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
14.0% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
9.1% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
41.6% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
2.8% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
60.0% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
26.1% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
12.3% 18.8%
5 Inspection Summary

Date of standard health inspection: 10/03/2018
Total number of health deficiencies: 19
Average number of health deficiencies in Illinois: 10.6

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