Windmill Nursing Pavilion

Windmill Nursing Pavilion, 16000 S. Wabash, South Holland, Illinois 60473

Windmill Nursing Pavilion is located in South Holland, Illinois, a southern suburb to Chicago which is approximately 23.7 miles from the center of the City of Chicago. The facility has 135 certified beds. Its overall rating is below average. Windmill Nursing Pavilion participates in both Medicare and Medicaid and is owned as a for profit corporation. Windmill Nursing Pavilion is not in a Continuing Care Retirement Community. It has a resident council only.

The health inspection category rating is below average for Windmill Nursing Pavilion. The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. The last full report made for a health inspection at this facility was dated December 2, 2016. Six total health deficiencies were identified. The average number of health deficiencies in Illinois is 8.5. The average number of health deficiencies in the U.S. is 7.3.

In the case of this health inspection at Windmill Nursing Pavilion, two deficiencies were identified in quality care, one in resident rights, one in pharmacy services and two in environmental.

In addition to regularly scheduled health inspections, Illinois nursing homes are subject to complaint inspections. In the case of Windmill Nursing Pavilion, there was one such full report dated January 5, 2017. This covers the complaint inspection period between June 1, 2016 and May 31, 2017. In the complaint inspection, based on observation, interview and record review, Windmill Nursing Pavilion failed to ensure that safety alarms were attached or worn by the resident and functional as outlined in the facility’s care plan. This applied to two of three residents who have had multiple falls and were reviewed for the use of safety alarms as a fall prevention intervention.

The rating at Windmill Nursing Pavilion for staffing is below average. The registered nurse staffing rating is considered average. The total number of licensed nurse staff hours per resident per day at Windmill Nursing Pavilion is 1 hour and 8 minutes compared to 1 hour and 33 minutes, which is the Illinois average and 1 hour and 42 minutes for the U.S. Windmill Nursing Pavilion registered nurse hours per resident per day is 32 minutes. This compares poorly to the Illinois average of 55 minutes and the national average of 50 minutes. The physical therapy staff hours per resident per day at Windmill Nursing Pavilion is the same as the national and Illinois averages at 6 minutes per resident per day.

32.3% of Windmill Nursing Pavilion’s short-stay residents made improvements in function compared to the Illinois average of 61.3% and the national average at 64.5%. 29.7% of Windmill Nursing Pavilion’s short-stay residents were re-hospitalized after a nursing home admission. This percentage was slightly higher than both the Illinois and national averages, which stand at 22.5% and 21.1%, respectively. 57.6% of Windmill Nursing Pavilion‘s short-stay residents were successfully discharged to the community. This percentage was higher than the Illinois average of 53.8%.

4.9% of Windmill Nursing Pavilion’s long-stay residents experienced one or more falls with major injury. This percentage was considerably higher than both the Illinois and national averages, which were both 3.3%. 5.9% of Windmill Nursing Pavilion’s long-stay high-risk residents developed pressure ulcers. The Illinois average is 6%, with the national average being 5.7%. 7.9% of Windmill Nursing Pavilion’s long-stay residents had an increased need for help with daily activities. This percentage was considerably lower than both the Illinois and national averages which are 14.6% and 15.1%, respectively. 53.9% of Windmill Nursing Pavilion’s long-stay residents were assessed and given the appropriate pneumococcal vaccine. This percentage is much lower than both the Illinois and national averages which stand at 91.9% and 93.7%, respectively in this category.

Windmill Nursing Pavilion received a federal fine on February 17, 2016 in the amount of $14,333. It is possible that Illinois may have imposed a penalty under state law, but none are listed. To search for the Illinois state penalties, there is a separate website that would allow for an independent viewing of any such fines.

1 Vital Statistics
Number of Beds: 135 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.

Two StarsBelow Average
Health Inspection information

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

Two StarsBelow 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 StarsBelow Average
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.

Four StarsAbove Average
3 Key Short Stay Statistics
Description Windmill Nursing Pavilion Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain.
Lower percentages are better.
12.2%13.1%
Percent of short-stay residents with pressure ulcers that are new or worsened.
Lower percentages are better.
0.0%1.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
Higher percentages are better.
11.1%73.7%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine.
Higher percentages are better.
5.3%76.5%
Percent of short-stay residents who newly received an antipsychotic medication.
Lower percentages are better.
7.4%2.4%
4 Key Long Stay Statistics
Description Windmill Nursing Pavilion Illinois
Average
Percentage of long-stay residents experiencing one or more falls with major injury.
Lower percentages are better.
4.9%3.3%
Percentage of long-stay residents with a urinary tract infection.
Lower percentages are better.
1.4%4.3%
Percentage of long-stay residents who self-report moderate to severe pain.
Lower percentages are better.
6.5%5.3%
Percentage of long-stay high-risk residents with pressure ulcers.
Lower percentages are better.
5.9%6.0%
Percentage of long-stay low-risk residents who lose control of their bowels or bladder.
Lower percentages are better.
45.2%43.7%
Percentage of long-stay residents who have/had a catheter inserted and left in their bladder.
Lower percentages are better.
4.0%2.9%
Percentage of long-stay residents who were physically restrained.
Lower percentages are better.
0.9%0.6%
Percentage of long-stay residents whose ability to move independently worsened.
Lower percentages are better.
9.6%16.9%
Percentage of long-stay residents whose need for help with daily activities has increased.
Lower percentages are better.
7.9%14.6%
Percentage of long-stay residents who lose too much weight.
Lower percentages are better.
8.4%7.7%
Percentage of long-stay residents who have depressive symptoms.
Lower percentages are better.
25.5%18.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication.
Lower percentages are better.
3.0%22.2%
Percentage of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine.
Higher percentages are better.
88.7%92.8%
Percentage of long-stay residents assessed and given, appropriately, the pneumococcal vaccine.
Higher percentages are better.
53.9%91.9%
Percentage of long-stay residents who received an antipsychotic medication.
Lower percentages are better.
18.5%19.4%
5 Inspection Summary

Date of standard health inspection: 12/02/2016
Total number of health deficiencies: 6
Average number of health deficiencies in Illinois: 8.5

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