Waterfront Terrace

Waterfront Terrace has 118 certified beds and participates in Medicare and Medicaid. The facility is operated as a for-profit corporation. It is not in a continuing care retirement community. Waterfront Terrace is located on Chicago’s south side in the South Shore neighborhood. The overall rating for Waterfront Terrace is much below average.

The Illinois Department of Health and Human Services inspects Illinois nursing homes approximately every 18 months. On April 25, 2016, a full report was submitted by the Illinois Department of Health and Human Services in conjunction with the Centers for Medicare & Medicaid Services. Based on interview and record review, Waterfront Terrace failed to avoid a resident from being exposed to the verbally abusive behavior of another resident. This has the potential to affect two of five residents reviewed for abuse in a sample of five residents.

On April 20, 2016, a resident was interviewed. This resident was another resident’s roommate from March 21, 2016 to April 4, 2016. The first resident said that her roommate used profanity every day when speaking to her and yelling out profanity at night. The resident called her different foul words when addressing her. The resident said she couldn’t watch television in her room without her roommate saying, “Turn that MF off!”

Based on observation, interview and record review, the facility, Waterfront Terrace, failed to ensure the volatile behavior of a visitor who may have caused harm to a resident. This failure applied to one of five residents reviewed for abuse and has the potential to affect many residents in the facility. This visitor was observed in the hallway on the third floor next to the nurses’ station. The visitor was forcefully shaking a resident’s wheelchair and telling the resident to “shut up.” The resident was also using profanity. A third floor nurse was at the medication cart which was within five feet of the visitor and the resident. Other staff personnel were within visual range. No one stopped this visitor from this abusive treatment.

The Director of Nursing was interviewed. The Director was asked if the police were called to report this violent act by the visitor. The police were not called. The Director of Environmental Service was asked why staff did not call the police to the third floor when the visitor picked up the broom and attacked a nurse. Obviously, the nursing home’s personnel did not act appropriately to protect residents and themselves from attacks by visitors. The police should have been notified immediately given the dangerous circumstances that threatened a resident and others.

The Waterfront Terrace is rated below average in staffing. The total number of licensed nurse staff hours per resident per day is 1 hour and 7 minutes. The Registered Nurse hours per resident per day is listed at 34 minutes. This compares poorly next to the Illinois average of 57 minutes and the national average of 51 minutes. The CNA hours per resident per day at Waterfront Terrace is 1 hour and 15 minutes. This is substantially below the Illinois average of 2 hours and 15 minutes and the national average of 2 hours and 28 minutes. Waterfront Terrace provides physical therapy staff hours per resident per day at just 3 minutes. This is half as much as the Illinois and national averages of 6 minutes for physical therapy staff hours per resident per day.

In terms of quality measures, Waterfront Terrace rates above average. 22.3% of Waterfront Terrace’s short-stay residents were re-hospitalized after a nursing home admission. 17% of Waterfront Terrace’s short-term residents had an outpatient emergency department visit. That percentage is higher than both the Illinois and national averages in this category. 55.4% of Waterfront Terrace’s short-stay residents were successfully discharged to the community. This percentage was higher than the Illinois average of 51.5% of short-stay residents who were successfully discharged to the community.

11% of Waterfront Terrace’s long-stay high-risk residents contracted pressure ulcers. This percentage of its residents was much higher than the Illinois average of 6.3% of long-stay high-risk residents with pressure ulcers. There were no reports of Waterfront Terrace’s long-stay residents who were physically restrained. 94.7% of Waterfront Terrace’s long-stay residents were assessed and given the appropriate seasonal influenza vaccine. Waterfront Terrace’s long-stay residents were given the appropriate pneumococcal vaccine at the rate of 95.4%, which is a higher percentage than both the Illinois and national averages for this category.

The way quality measures are calculated is from data and risk adjustment. A detailed understanding of the adjustment procedures is not necessary for the average user of Nursing Home Compare which is the online website that is part of medicare.gov. The quality measures utilize a 5-star quality rating system. There is also a graphing measure that is available online.

Waterfront Terrace has received two federal fines in the last 3 years. One fine was assessed in the amount of $4,095.00 on December 17, 2014 and another in the amount of $6,143.00 was assessed on January 29, 2015.

1 Vital Statistics
Number of Beds: 118 certified bedsi rating icon

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

Accepts: Medicare and Medicaidi rating icon

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

2 Key Ratings
Star Rating Summary
Overall Rating i rating icon

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

one starMuch Below Average
Health Inspection i rating icon

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

one starMuch Below Average
Staffing i rating icon

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 starsBelow Average
RN Staffing i rating icon

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 i rating icon

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.

four starsAbove Average
3 Key Short Stay Statistics
DescriptionWaterfront TerraceIllinois
Average
Percent of short-stay residents who self-report moderate to severe pain.
Lower percentages are better.
10.3%11.5%
Percent of short-stay residents with pressure ulcers that are new or worsened.
Lower percentages are better.
1.9%1.1%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
Higher percentages are better.
63.9%73.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine.
Higher percentages are better.
59.3%76.3%
Percent of short-stay residents who newly received an antipsychotic medication.
Lower percentages are better.
1.7%2.3%
4 Key Long Stay Statistics
DescriptionWaterfront TerraceIllinois
Average
Percentage of long-stay residents experiencing one or more falls with major injury.
Lower percentages are better.
0.0%3.4%
Percentage of long-stay residents with a urinary tract infection.
Lower percentages are better.
1.6%3.9%
Percentage of long-stay residents who self-report moderate to severe pain.
Lower percentages are better.
2.0%4.4%
Percentage of long-stay high-risk residents with pressure ulcers.
Lower percentages are better.
11.0%5.8%
Percentage of long-stay low-risk residents who lose control of their bowels or bladder.
Lower percentages are better.
37.2%44.1%
Percentage of long-stay residents who have/had a catheter inserted and left in their bladder.
Lower percentages are better.
3.6%2.4%
Percentage of long-stay residents who were physically restrained..
Lower percentages are better.
0.0%0.4%
Percentage of long-stay residents whose ability to move independently worsened.
Lower percentages are better.
10.8%17.2%
Percentage of long-stay residents whose need for help with daily activities has increased.
Lower percentages are better.
11.7%14.4%
Percentage of long-stay residents who lose too much weight.
Lower percentages are better.
4.9%7.9%
Percentage of long-stay residents who have depressive symptoms.
Lower percentages are better.
6.6%18.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication..
Lower percentages are better.
4.6%21.9%
Percentage of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
Higher percentages are better.
94.7%92.8%
Percentage of long-stay residents assessed and given, appropriately, the pneumococcal vaccine.
Higher percentages are better.
95.4%91.6%
Percentage of long-stay residents who received an antipsychotic medication.
Lower percentages are better.
16.3%19.3%
5 Inspection Summary

Date of standard health inspection: 02/25/2016
Total number of health deficiencies: 10
Average number of health deficiencies in Illinois: 8.9

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