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WINCHESTER HOUSE - LIBERTYVILLE, IL

 



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Address
1125 NORTH MILWAUKEE AVENUE
LIBERTYVILLE, IL, 60048
Phone (make sure to verify first before calling): (847) 377-7200

Number of Certified Beds: 360
Total Number of Residents: 167
Percent of Occupied Beds: 46%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 8.00
Administrative Staff - Part Time: 1.00
Certified Nurse Aides - Full Time: 112.00
Certified Nurse Aides - Part Time: 17.79
Food Service Personnel - Full Time: 26.07
Food Service Personnel - Part Time: 4.57
Housekeeping Personnel - Full Time: 23.10
Licensed Practical/ Vocational Nurses - Full Time: 14.86
Licensed Practical/ Vocational Nurses - Part Time: 1.71
Medical Directors - Under Contract: 0.43
Mental Health Services Personnel - Under Contract: 0.21
Nurses With Administrative Duties - Full Time: 10.96
Occupational Therapy Aides - Full Time: 3.23
Persons Not Included In Any Other Categories - Full Time: 30.26
Physical Therapists - Under Contract: 0.57
Registered Nurses - Full Time: 37.71
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 3.43
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.09
Nurses With Administrative Duties - Part Time: 1.29
Occupational Therapists - Under Contract: 0.57
Pharmacists - Under Contract: 2.86
Podiatrists - Under Contract: 0.09
Speech Pathologists - Under Contract: 0.29
Nurse Aides In Training - Full Time: 1.14
Other Physicians - Under Contract: 0.14
Dietitians - Full Time: 2.29
Persons Not Included In Any Other Categories - Part Time: 1.14
Registered Nurses - Part Time: 5.03
Occupational Therapy Assistants - Under Contract: 0.43

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Administration And Storage Of Blood Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

1.000
State:

0.751
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.260
Illinois:

0.595
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.250
State:

1.342
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.030
Illinois:

0.080
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.030
Illinois:

0.089

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

25.8%
Illinois:

14.9%
Percent of long-stay residents who self-report moderate to severe pain
Here:

5.5%
Illinois:

8.4%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

4.3%
State:

7.3%
Percent of long-stay residents who lose too much weight
Here:

10.7%
Illinois:

8.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

56.9%
Illinois:

32.8%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

5.7%
State:

4.5%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

5.3%
Illinois:

6.8%
Percent of long-stay residents who have depressive symptoms
This Nursing Home:

2.7%
State:

7.7%
Percent of long-stay residents who were physically restrained
This Nursing Home:

2.6%
State:

2.4%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

3.3%
Illinois:

3.4%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

32.2%
Illinois:

93.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

97.4%
State:

92.9%
Percent of short-stay residents who self-report moderate to severe pain
Here:

9.1%
Illinois:

19.2%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

1.1%
Illinois:

1.9%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

50.7%
State:

81.0%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

90.3%
Illinois:

80.2%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

3.9%
State:

2.5%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

23.6%
Illinois:

24.2%

Complaint Deficiency

Keep each resident free from physical restraints, unless needed for medical treatment: Some (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)

Hire sufficient dietary support personnel: Few (Minimal harm or potential for actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Some (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Some (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

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)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Many (Potential for minimal harm)

Store, cook, and serve food in a safe and clean way: Many (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)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Many (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Many (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Many (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Many (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Some (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)

Provide necessary care and services to maintain the highest well being of each resident : Some (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)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Some (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: 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 (Immediate jeopardy to resident health or safety)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Some (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: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

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