WILLOW PARK CONVALESCENT HOME - CLEVELAND, OH
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Address 18810 HARVARD AVEPhone (make sure to verify first before calling): (216) 752-3600 Number of Certified Beds: 209 Total Number of Residents: 136 Percent of Occupied Beds: 65% Sprinkler Status: Fully Sprinklered Program Participation: Medicare and Medicaid Type of Ownership: For profit - Corporation Located Within a Hospital?: No Multi Nursing Home Ownership?: Yes Resident and Family Councils: Resident Continuing Care Retirement Community?: No Quality Indicator Survey?: Yes Special Focus Facility?: No Type: Skilled Nursing Facilities Overall Star Rating: 2 Stars Health Inspections Star Rating: 1 Star Nurse Staffing Star Rating: 4 Stars Quality Measures Star Rating: 4 Stars RN Only Star Rating: 2 Stars Employment Full-Time EquivalentAdministrative Staff - Full Time: 1.14Certified Nurse Aides - Full Time: 48.00 Certified Nurse Aides - Part Time: 30.29 Food Service Personnel - Full Time: 11.87 Food Service Personnel - Part Time: 7.20 Housekeeping Personnel - Full Time: 18.86 Licensed Practical/ Vocational Nurses - Full Time: 25.14 Licensed Practical/ Vocational Nurses - Part Time: 6.40 Medical Directors - Under Contract: 0.07 Mental Health Services Personnel - Under Contract: 0.23 Nurses With Administrative Duties - Full Time: 3.43 Persons Not Included In Any Other Categories - Full Time: 17.71 Registered Nurses - Full Time: 6.86 Rn Director Of Nursing - Full Time: 1.14 Social Workers - Full Time: 1.71 Activities Professionals - Full Time: 1.71 Activities Professionals - Part Time: 0.91 Dentists - Under Contract: 0.11 Dietitians - Part Time: 0.46 Occupational Therapists - Part Time: 0.10 Pharmacists - Under Contract: 0.06 Physical Therapists - Part Time: 0.10 Podiatrists - Under Contract: 0.06 Other Physicians - Under Contract: 0.34 Physician Extenders - Under Contract: 0.17 Dietitians - Full Time: 1.14 Persons Not Included In Any Other Categories - Part Time: 4.43 Registered Nurses - Part Time: 0.91 Housekeeping Personnel - Part Time: 3.29 Occupational Therapy Assistants - Full Time: 1.14 Speech Pathologists - Part Time: 0.03 Provided Services
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay high-risk residents with pressure ulcers
Percent of long-stay residents who lose too much weight
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Percent of long-stay residents with a urinary tract infection
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents who were physically restrained
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencyAn approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) Proper backup exit lighting: Few (Minimal harm or potential for actual harm) A separate and independent backup electrical power source: Few (Minimal harm or potential for actual harm) Proper backup exit lighting: Few (Immediate jeopardy to resident health or safety) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm) Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm) Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Potential for minimal harm) Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm) Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm) Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care: Some (Minimal harm or potential for actual harm) Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm) Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm) Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm) Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm) Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm) Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm) Make sure that residents receive proper treatment and assistive devices to maintain their vision and hearing: Few (Minimal harm or potential for actual harm) Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm) Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm) Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Minimal harm or potential for actual harm) Hire sufficient dietary support personnel: Few (Minimal harm or potential for actual harm) Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Few (Minimal harm or potential for actual harm) Provide bedrooms that don't allow residents to see each other when privacy is needed: Few (Minimal harm or potential for actual harm) Make sure that a working call system is available in each resident's room or bathroom and bathing area: Some (Minimal harm or potential for actual harm) Protected exits that allow the resident to escape the building: Few (Minimal harm or potential for actual harm) Exits that are accessible at all times: Few (Minimal harm or potential for actual harm) Proper backup exit lighting: Few (Minimal harm or potential for actual harm) Emergency lighting that can last at least 1 1/2 hours: Few (Minimal harm or potential for actual harm) Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm) Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm) Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm) 1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: Some (Potential for minimal harm) Provide or obtain dental services for each resident: Few (Minimal harm or potential for actual harm) Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm) Keep all essential equipment working safely: Some (Minimal harm or potential for actual harm) Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm) Proper stairway enclosures and vertical shafts: Some (Minimal harm or potential for actual harm) Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm) Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm) Exits that are accessible at all times: Some (Minimal harm or potential for actual harm) A fire alarm system that can be heard throughout the facility: Some (Minimal harm or potential for actual harm) Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm) Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Some (Minimal harm or potential for actual harm) Allow residents to easily view the results of the nursing home's most recent survey: Many (Potential for minimal harm) Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm) Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm) Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm) Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm) Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm) Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm) Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm) Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm) Other nearby hospitals and nursing homes
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