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Windsor Estates Nursing and Rehab
Windsor Estates Nursing and Rehab, 18300 S. Laverng, Country Club Hills, Illinois 60478
Windsor Estates Nursing and Rehab has an overall rating of three stars out of five. The facility is located in the south Chicago suburb of Country Club Hills, which is approximately 28.4 miles from the center of the City of Chicago. The facility has 111 certified beds that participates in both Medicare and Medicaid. Windsor Estates Nursing and Rehab is within a Continuing Care Retirement Community. Continuing Care Retirement Communities offer multiple housing options and levels of care. The great advantage for residents within this type of facility is that residents are allowed to move from one level to another based on their particular needs while still remaining in this nursing home. Windsor Estates Nursing and Rehab has a resident and family council.
Resident and family council can facilitate open communications with the facility’s staff. The law requires nursing homes to allow councils to be set up by residents or their families. Importantly, if a nursing home does not have a resident or a family council, the resident or a family member should ask the nursing home administrator why that is the case. Where there is a resident or family council, the resident is encouraged to speak with the council president to get a sense of how the nursing home has performed on issues raised in the past. Windsor Estates Nursing and Rehab is a for profit individually owned enterprise. The legal business name is McAllister Nursing & Rehab, LLC.
The Illinois Department of Health and Human Services regularly inspects Illinois nursing homes on average every 18 months. The last full health inspection report was filed for this facility on December 23, 2016. In that inspection, there were fifteen health deficiencies identified. The average number of health deficiencies in Illinois nursing homes is 8.9. The average number of health deficiencies in the U.S. is 7.3. In addition to the regular health inspections, the Illinois Department of Health and Human Services will inspect a nursing home when complaints are filed or registered by a resident or a family member. Between September 1, 2016 and August 31, 2017, there were five full separate full reports filed in complaint inspections. In the area of health inspections, Windsor Estates Nursing and Rehab rated below average.
Windsor Estates Nursing and Rehab rating for staffing was listed as average. Higher staffing levels in a nursing home may mean higher quality of care for its residents. The overall staffing rating for Windsor Estates Nursing and Rehab is set at above average gaining four out of five stars. The total number of licensed nurse staff hours per resident per day at Windsor Estates Nursing and Rehab is 2 hours and 28 minutes compared to 1 hour and 32 minutes, which is the Illinois average, and 1 hour and 41 minutes, which is the national average. The total number of registered nurse hours per resident per day at the facility was 52 minutes compared to the 55 minutes for the Illinois average and 50 minutes for the national average. The physical therapy staff hours per resident per day at Windsor Estates Nursing and Rehab is 8 minutes compared to 6 minutes for both the Illinois and national averages. The registered nurse staffing rating at Windsor Estates Nursing and Rehab is above average.
32.3% of Windsor Estates Nursing and Rehab’s short-stay residents improved in their ability to move around on their own. This percentage at Windsor Estates Nursing and Rehab was much lower than the Illinois average, which is 62.4% and the national average being 65.5% in this category. 28% of Windsor Estates Nursing and Rehab’s short-stay residents were re-hospitalized after a nursing home admission. The Illinois average in this category is 22.5% and the national average is 21.1%. 16.6% of the facility’s short-stay residents had an outpatient emergency department visit. The Illinois average is 12.1%, with the national average being 11.9%.
1.4% of Windsor Estates Nursing and Rehab’s long-stay residents experienced one or more falls with major injury. The Illinois average and national average were both significantly higher at 3.4% in this category. 7% of Windsor Estates Nursing and Rehab’s long-stay high-risk residents reported pressure ulcers while residents of the facility. This percentage was higher than both the Illinois and national averages which stand at 5.9% 5.7%, respectively. 96.6% of the facility’s long-stay residents received a needed flu shot for the current flu season, compared to 92.8% for the Illinois average and 94.7%, being the national average. 83.2% of Windsor Estates Nursing and Rehab’s long-stay residents who needed and received a vaccine to prevent pneumonia was lower than the Illinois average of 91.8% and the national average of 93.9% in this category.
Windsor Estates Nursing and Rehab received a penalty of $6,856 and was levied on December 18, 2014. No other fines have been reported.
1 Vital Statistics
Number of Beds: 200 certified beds
Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.
Accepts: Medicare and Medicaid
Shows if the nursing home participates in the Medicare, Medicaid, or both.
2 Key Ratings
| Star Rating Summary | ||
| Overall Rating |  | Much Below Average |
| Health Inspection Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks | | Much Below Average |
| Staffing 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 |  | Below Average |
| RN Staffing | | Below Average |
| Quality Measures Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care | | Much Below Average |
3 Key Short Stay Statistics
| Description | Windsor Estates Nsg & Rehab | Illinois Average |
| Percent of short-stay residents who self-report moderate to severe pain Lower percentages are better. | 5.4% | 10.2% |
| Percentage of SNF residents with pressure ulcers that are new or worsened Lower percentages are better. | 2.3% | Not Available |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 24.2% | 72.8% |
| Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 6.2% | 74.7% |
| Percentage of short-stay residents who got antipsychotic medication for the first time Lower percentages are better. | 2.4% | 2.1% |
4 Key Long Stay Statistics
| Description | Windsor Estates Nsg & Rehab | Illinois Average |
| Percent of long-stay residents experiencing one or more falls with major injury Lower percentages are better. | 3.7% | 3.3% |
| Percent of long-stay residents with a urinary tract infection Lower percentages are better. | 2.3% | 3.1% |
| Percent of long-stay residents who self-report moderate to severe pain Lower percentages are better. | 6.3% | 4.9% |
| Percent of long-stay high-risk residents with pressure ulcers Lower percentages are better. | 14.0% | 7.6% |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder Lower percentages are better. | 56.8% | 46.1% |
| Percent of long-stay residents who have or had a catheter inserted and left in their bladder Lower percentages are better. | 3.5% | 2.4% |
| Percent of long-stay residents who were physically restrained Lower percentages are better. | 0.7% | 0.3% |
| Percentage of long-stay residents whose ability to move independently worsened Lower percentages are better. | 29.3% | 16.5% |
| Percent of long-stay residents whose need for help with daily activities has increased Lower percentages are better. | 26.5% | 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. | 8.1% | 19.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower percentages are better. | 15.8% | 20.2% |
| Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine Higher percentages are better. | 80.2% | 92.9% |
| Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine Higher percentages are better. | 7.2% | 89.7% |
| Percent of long-stay residents who received an antipsychotic medication Lower percentages are better. | 13.4% | 18.8% |
5 Inspection Summary
Date of standard health inspection: 12/06/2018
Total number of health deficiencies: 19
Average number of health deficiencies in Illinois: 10.6
