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Woodbridge Nursing Pavilion

Woodbridge Nursing Pavilion has 222 certified beds. The nursing home facility is located in the Logan Square neighborhood of Chicago’s near northwest side. Woodbridge Nursing Pavilion participates in both Medicaid and Medicare. Its ownership operates the nursing home as a for-profit partnership. The overall rating for Woodbridge Nursing Pavilion is below average.

The Illinois Department of Health and Human Services regularly inspects nursing homes. These inspections usually take place approximately every 18 months. A department inspection can also take place in response to a complaint registered with the agency.

In November 2015, Woodbridge Nursing Pavilion underwent an inspection by the department. Based on interviews and record reviews, the facility failed to ensure that a grievance was resolved in a timely manner and in accordance with facility policy. This failure affected 1 resident out of 7 residents reviewed for social services in a sample of 10 residents.

One resident who was interviewed on November 23, 2015 confirmed that the resident’s dentures were missing. The resident stated that he had a dental appointment but then had problem with blood pressure and went to a hospital. When he returned the Woodbridge staff and personnel didn’t know where his dentures were. The resident stated that the staff was informed about the missing dentures but they have had no answer since then. Nobody knew anything about it according to interviews. The resident stated that he would like to have his dentures. According to the resident, the dentures were never found or replaced. A staff member at Woodbridge Nursing Pavilion was interviewed and informed the resident that staff is still looking for the missing dentures.

The administrator of Woodbridge Nursing Pavilion was interviewed on November 24, 2015 and stated that the grievances should be resolved as soon as possible, within a timely manner in accordance with its policies and procedures.

During the same inspection in November 2015, based on interview and record review, the Woodbridge Nursing Pavilion failed to implement its policy and procedure regarding reporting allegations of abuse and ensure protection of residents. This failure affected 2 residents out of 4 who were reviewed for abuse. In an interview with staff, it was found that two residents became aggressive with each other. It was found that one resident assaulted another. A staff member was interviewed and stated that a resident was verbally aggressive with the other. Both residents stood up and were going to approach each other aggressively when a staff member got in the middle and asked residents to move away. During this altercation, one resident hit the other with a cane.

On health inspection, the Woodbridge Nursing Pavilion was found to be below average. With respect to staffing, the facility was rated much below average. The total number of licensed nurse staff hours per resident per day was 58 minutes which is more than a half hour shorter than the Illinois and national averages. Registered nurse hours per resident per day was 27 minutes, which was 30 minutes less than the Illinois average. Licensed practical nurse hours per resident per day was found to be 31 minutes which was slightly below the Illinois average and 20 minutes below the national average.

Physical therapy staff hours per resident per day was rated poorly because Woodbridge Nursing Pavilion allowed just 2 minutes per resident per day, whereas the Illinois and national averages were both 6 minutes per day. The overall registered nurse staffing rating was below average.

In terms of quality measures, Woodbridge Nursing Pavilion rated much above average. For example, 10.4% of short-stay residents who have had an outpatient emergency visit was lower than the Illinois and national averages. However, the percentage of short-stay residents who were successfully discharged to the community, was 37% whereas the Illinois average was 45.8% and the national average 50%. There was no report of short-stay residents with pressure ulcers that were either new or worsened. That result was much better than the state and U.S. averages.

Woodbridge Nursing Pavilion found that 2.5% of its long-stay residents experienced one or more falls with major injury. At that level, Woodbridge Nursing Pavilion rated better than the Illinois average of 3.3% and the national average, which was the same as Illinois’. Woodbridge Nursing Pavilion rated very well with respect to the percentage of long-stay residents whose ability to move independently worsened. At 4.7%, that figure was much better than the Illinois average of 17.7% and 18.2%, which was the U.S. average. Again, Woodbridge Nursing Pavilion rated very well with respect to the percentage of long-stay residents whose need for help with daily activities increased, which was just 3.2% of its residents. 15.6% and 15.4%, respectively, were the much higher rates that were scored by Illinois and the national averages.

Woodbridge Nursing Pavilion was not fined by the federal government in the last 3 years.

1 Vital Statistics
Number of Beds: 222 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

One Star Much 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 Woodbridge Nursing Pavilion Illinois
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
11.4% 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.
23.6% 72.8%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
18.9% 74.7%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
5.0% 2.1%
4 Key Long Stay Statistics
Description Woodbridge Nursing Pavilion Illinois
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
1.9% 3.3%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
2.5% 3.1%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.6% 4.9%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
4.9% 7.6%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
34.0% 46.1%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
2.3% 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.
18.6% 16.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
18.1% 13.8%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
7.8% 6.3%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
94.9% 19.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
9.2% 20.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
80.7% 92.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
62.0% 89.7%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
19.0% 18.8%
5 Inspection Summary

Date of standard health inspection: 04/11/2019
Total number of health deficiencies: 18
Average number of health deficiencies in Illinois: 10.6

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