Windsor Park Manor

Windsor Park Manor has an overall rating of much above average. The facility is located in Carol Stream, Illinois, which is a western suburb to the City of Chicago lying approximately 32.5 miles from the center of the City of Chicago. Windsor Park Manor has 48 certified beds which participates in both Medicare and Medicaid. Windsor Park Manor is within a Continuing Care Retirement Community. The advantage of a Continuing Care Retirement Community is that it allows a resident to move from one level to another based on their particular medical needs. For example, an individual resident may come to the nursing home as an independent living arrangement but later because of illness or injury requires assisted living or critical nursing care. In those instances, the resident can simply move to a different wing of the nursing home rather than to move out into another facility. Windsor Park Manor has a resident council only.

Resident and family councils are important to facilitate communications with the nursing home staff. The law requires nursing homes to allow councils to be set up by residents and families. In the case of the nursing home not having a resident and/or family council, a resident or a family member should ask the nursing home administrator why that is the case. It also may be important to suggest to residents and family members to speak with the council president to get an idea of how the nursing home has acted with other residents who have raised concerns about how the nursing home is operating. The ownership of Windsor Park Manor is nonprofit.

The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. The most recent standard health inspection at Windsor Park Manor was filed on February 17, 2017 with a total number of 3 health citations. The average number of health citations in Illinois is 9.1. The average number of health citations in the U.S. is 7.2. There were no complaint inspections filed as to Windsor Park Manor between December 1, 2016 and November 30, 2017. There were no complaints in the last three years that resulted in citations at this facility.

The staffing rating for Windsor Park Manor is much above average. The total number of licensed nurse staff hours per resident per day at Windsor Park Manor is 2 hours and 16 minutes compared to 1 hour and 33 minutes being the Illinois average and 1 hour and 41 minutes being the national average. The registered nurse hours per resident per day at Windsor Park Manor is 2 hours and 3 minutes compared to 56 minutes for the Illinois average and 50 minutes for the U.S. average. The CNA hours per resident per day at Windsor Park Manor is 3 hours and 17 minutes. The Illinois average is 2 hours and 14 minutes, with the national average being 2 hours and 27 minutes. Physical therapy staff hours per resident per day for Windsor Park Manor is at the rate of 27 minutes compared to just 6 minutes for both the Illinois average and national average.

Illinois nursing homes that are certified by Medicare and Medicaid regularly report clinical information for each of their residents to the Centers for Medicare & Medicaid Services (CMS). CMS gives nursing homes a quality of resident care star rating based on performance on 16 different measures. These measures reflect how well a nursing home cares for its residents. These listings are based on two groups which are short-stay residents who spend 100 days or less in a nursing home and long-stay residents who spend over 100 days in a nursing home.

73.6% of Windsor Park Manor’s short-stay residents improved in their ability to move around on their own. The Illinois average is 63.4%, with the national average being 66.7% in this category. 28.4% of Windsor Park Manor’s short-stay residents were re-hospitalized after a nursing home admission. The Illinois average was lower at 22.5% as is the national average at 21.1%. 61.3% of Windsor Park Manor’s short-stay residents were successfully discharged to the community. The Illinois average is 53.8% and the national average is 57%. 96.9% of Windsor Park Manor’s short-stay residents received a needed vaccine to prevent pneumonia. This percentage was significantly higher than the Illinois average of 76.3%, as well as the national average at 82.8%.

8.5% of Windsor Park Manor’s long-stay high-risk residents reported moderate to severe pain. The Illinois average is 4.4%, with the national average being 5.9% in this category. 50% of Windsor Park Manor’s long-stay low-risk residents lose control of their bowels or bladder compared to 41.1% for the Illinois average and 47.6% for the national average. 24.5% of Windsor Park Manor’s long-stay residents had a worsened ability to move independently compared to the Illinois average of 17.2% and the national average of 18.3%. 96.4% of Windsor Park Manor’s long-stay residents received a needed flu shot for the current flu season. The Illinois average is 92.8%, with the national average being 94.8%.

Windsor Park Manor 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.

1Vital Statistics
Number of Beds:80 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.

2Key Ratings
Star Rating Summary
Overall Ratinginformation

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

Five StarsMuch Above Average
Health Inspectioninformation

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

Five StarsMuch Above Average
Staffinginformation

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

Four StarsAbove Average
RN StaffingFive StarsMuch Above Average
Quality Measuresinformation

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

Four StarsAbove Average
3Key Short Stay Statistics
DescriptionCovenant Living - Windsor ParkIllinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
2.3%10.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.9%Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
92.1%72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
96.5%74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
0.2%2.1%
4Key Long Stay Statistics
DescriptionCovenant Living - Windsor ParkIllinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
0.0%3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
0.0%3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
12.8%4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
0.0%7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
33.3%46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
0.0%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.
26.0%16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
11.9%13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
2.1%6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
3.3%19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
26.0%20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
87.5%92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
100.0%89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
17.7%18.8%
5Inspection Summary

Date of standard health inspection:01/10/2019
Total number of health deficiencies:1
Average number of health deficiencies in Illinois:10.6

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