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Willow Crossing Health & Rehabilitation Center

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About Willow Crossing Health & Rehabilitation Center

General Information

Legal Business NameWitham Memorial Hospital
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 30, 1994 (22 years)
Capacity80
Residents54
Percent Occupied68%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Willow Crossing Health & Rehabilitation Center

Willow Crossing Health & Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Indiana Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 1, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.

June 15, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
CManyPotential for Minimal HarmFire Safety InspectionAn approved back-up procedure for a faulty fire alarm system.
CManyPotential for Minimal HarmFire Safety InspectionBack-up procedures in place for a faulty automatic sprinkler system.

April 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

March 31, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

January 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

April 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

March 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Willow Crossing Health & Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 30min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
55min
1hr 20min
ReportedExpected
RN
4hr 5min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

91.5%
91.8%
91.8%
94.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.3%
94.5%
96.1%
93.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
30.6%
32.3%
-
48.7%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.2%
19.6%
19.1%
17.4%
Q1 2015Q2 2015Q3 2015IN
Received an Antipsychotic Medication
29.8%
17.6%
29.3%
16.6%
Q1 2015Q2 2015Q3 2015IN
Need for Help with ADLs has Increased
14.7%
27.5%
29.6%
7.1%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
8.8%
13.0%
14.0%
8.0%
Q1 2015Q2 2015Q3 2015IN
Lose Too Much Weight
20.5%
19.5%
6.1%
6.5%
Q1 2015Q2 2015Q3 2015IN
High Risk Residents With Pressure Ulcers
4.0%
36.7%
32.6%
6.5%
Q1 2015Q2 2015Q3 2015IN
Have Depressive Symptoms
7.0%
5.6%
10.0%
4.8%
Q1 2015Q2 2015Q3 2015IN
With a Urinary Tract Infection
5.1%
7.3%
9.8%
3.5%
Q1 2015Q2 2015Q3 2015IN
Experiencing One or More Falls with Major Injury
5.6%
4.8%
8.6%
2.9%
Q1 2015Q2 2015Q3 2015IN
With a Catheter Inserted and Left in Their Bladder
3.4%
3.6%
2.0%
0.7%
Q1 2015Q2 2015Q3 2015IN
Were Physically Restrained

Quality Measures for Short Stay Residents

85.3%
76.2%
67.3%
81.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
88.2%
88.2%
88.2%
82.3%
Q1 2015Q2 2015Q3 2015IN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
46.7%
27.8%
16.7%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
9.1%
4.3%
7.4%
2.4%
Q1 2015Q2 2015Q3 2015IN
Newly Received an Antipsychotic Medication
2.6%
3.0%
1.9%
1.6%
Q1 2015Q2 2015Q3 2015IN
With Pressure Ulcers That Are New or Worsened