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The Waterford Nursing & Rehab

The Waterford Nursing & Rehab, 7445 N. Sheridan Road, Chicago, Illinois 60626

The Waterford Nursing & Rehab has 141 certified beds that participates both in Medicare and Medicaid. The ownership of The Waterford Nursing & Rehab is a for-profit corporation. The Waterford Nursing & Rehab is not in a continuing care retirement community. The facility is located on Chicago’s north side in the Rogers Park neighborhood. Its overall rating is above average.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes approximately every 18 months. These inspections are for standard health inspections or for an investigation following up on a complaint made on behalf of a resident or by a resident.

There were a series of complaint inspections between August 1, 2015 and July 31, 2016 at The Waterford Nursing & Rehab. In terms of the health inspection that was done on March 21, 2016, there was found to be 4 health deficiencies at The Waterford Nursing & Rehab. The average number of health deficiencies in Illinois nursing homes is 7.7, whereas the average number of health deficiencies in the U.S. is 7. There was one mistreatment deficiency found, one quality care deficiency found, one resident resident’s rights deficiency found and one pharmacy deficiency found.

During these inspections at Illinois nursing homes, fire safety deficiencies are reviewed. There were a total of three fire safety deficiencies at The Waterford Nursing & Rehab. The average number of fire deficiencies in Illinois is 6.5. The U.S. average of fire safety deficiencies is 3.3. One of the fire safety deficiencies was with the automatic sprinkler system. Another deficiency was with respect to the fire alarm system. The final fire deficiency found was listed as being electrical.

With respect to complaints and facility-reported incidents in the last three years, it was shown to be that there were few. There was an inspection date of March 21, 2015 which was shown to be corrected by April 28, 2015. This had to do with residents given the proper treatment to prevent new or healing existing bed sores.

The Waterford Nursing & Rehab was considered below average in its staffing. The rating for registered nurse staffing was considered average. The total number of licensed nurse staff hours per resident per day at The Waterford Nursing & Rehab was 54 minutes. This was a category that showed that The Waterford Nursing & Rehab was below average compared to the Illinois and national averages. The registered nurse hours per resident per day at The Waterford Nursing & Rehab was 32 minutes, whereas the Illinois average is 56 minutes and the national average is 51 minutes. The LPN/LVN hours per resident per day at The Waterford Nursing & Rehab were 22 minutes. This compared poorly against the Illinois average of 37 minutes and the national average of 51 minutes. The certified nursing assistant (CNA) hours per resident per day at The Waterford Nursing & Rehab was listed at 1 hour and 33 minutes which again was lower than the Illinois average of 2 hours and 15 minutes and the U.S. average of 2 hours and 28 minutes. The physical therapy staff hours per resident per day at The Waterford Nursing & Rehab was exactly the same as with the Illinois and national averages at 6 minutes.

In terms of quality measures, The Waterford Nursing & Rehab is considered average. 24.4% of The Waterford Nursing & Rehab’s short-stay residents were re-hospitalized after a nursing home admission. This percentage was higher than both the Illinois and national averages in this category. 5% of The Waterford Nursing & Rehab’s short-stay residents had an outpatient emergency department visit. This percentage was substantially lower than the Illinois average of short-stay residents who had an outpatient emergency department visit at 12.1% and the national average of 11.5% in this category. Only 42.2% of The Waterford Nursing & Rehab’s short-stay residents were assessed and given the appropriate pneumococcal vaccine. This was much lower on average than the Illinois and national averages in this category.

The quality measures of nursing homes are vitally important for obvious reasons. Residents of Illinois nursing homes should be checked regularly by nursing home personnel to identify residents who are experiencing pain. Residents or someone on their behalf should advise nursing home staff if a resident is in pain and the cause of that pain. The nursing home staff should be certain to make residents comfortable and improve their overall quality of life.

9.5% of The Waterford Nursing & Rehab’s long-stay residents who were considered high-risk to suffer from pressure ulcers was considerably higher than the Illinois and national averages for long-stay high-risk residents who suffer from pressure ulcers while a resident at a similar nursing facility. Just 1.4% of The Waterford Nursing & Rehab’s long-stay residents experienced one or more falls with serious injury. This percentage of The Waterford Nursing & Rehab’s residents in this category was much lower than the Illinois and national averages.

97.9% of The Waterford Nursing & Rehab’s long-stay residents were assessed and given the appropriate seasonal influenza vaccine. 94.1% of The Waterford Nursing & Rehab’s long stay residents were assessed and given the appropriate pneumococcal vaccine. That percentage was higher than both the Illinois and national averages in this category.

On March 6, 2014, The Waterford Nursing & Rehab was assessed a federal fine of $130,780.

1 Vital Statistics
Number of Beds: 141 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

Four Stars Above 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

Four Stars Above 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

Two Stars Below Average
RN Staffing Two Stars 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

Two Stars Below Average
3 Key Short Stay Statistics
Description Waterford Care Center, The Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
14.8% 10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.0% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
33.3% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
40.8% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
3.4% 2.1%
4 Key Long Stay Statistics
Description Waterford Care Center, The Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
3.1% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
2.0% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
2.2% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
1.7% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
41.9% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
0.3% 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.
14.7% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
16.6% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
4.0% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
47.9% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
21.0% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
12.4% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
76.4% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
33.8% 18.8%
5 Inspection Summary

Date of standard health inspection: 01/24/2019
Total number of health deficiencies: 9
Average number of health deficiencies in Illinois: 10.6

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