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Westminster Village North

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About Westminster Village North

General Information

Legal Business NameHancock Regional Hospital
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 31, 1974 (43 years)
Capacity148
Residents133
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Westminster Village North

Westminster Village North
was reviewed by Medicare to have a rating of 3 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

November 24, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

January 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

December 2, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

October 27, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionProperly working alarms on sprinkler valves.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.

October 2, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Westminster Village North 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 30min
2hr 35min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
55min
1hr 5min
ReportedExpected
RN
4hr 20min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

88.2%
86.4%
86.4%
94.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
82.1%
82.7%
83.2%
93.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
95.5%
76.6%
65.4%
48.7%
Q1 2015Q2 2015Q3 2015IN
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.3%
20.6%
17.5%
17.4%
Q1 2015Q2 2015Q3 2015IN
Received an Antipsychotic Medication
16.2%
21.3%
25.3%
16.6%
Q1 2015Q2 2015Q3 2015IN
Need for Help with ADLs has Increased
5.4%
6.7%
4.6%
7.1%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
7.5%
6.9%
10.6%
8.0%
Q1 2015Q2 2015Q3 2015IN
Lose Too Much Weight
1.2%
1.3%
2.4%
6.5%
Q1 2015Q2 2015Q3 2015IN
High Risk Residents With Pressure Ulcers
1.1%
0.0%
0.0%
6.5%
Q1 2015Q2 2015Q3 2015IN
Have Depressive Symptoms
5.4%
2.0%
2.9%
4.8%
Q1 2015Q2 2015Q3 2015IN
With a Urinary Tract Infection
5.3%
4.8%
4.7%
3.5%
Q1 2015Q2 2015Q3 2015IN
Experiencing One or More Falls with Major Injury
0.9%
2.1%
5.1%
2.9%
Q1 2015Q2 2015Q3 2015IN
With a Catheter Inserted and Left in Their Bladder
0.0%
1.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015IN
Were Physically Restrained

Quality Measures for Short Stay Residents

87.3%
80.6%
60.7%
81.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
80.9%
76.4%
76.4%
82.3%
Q1 2015Q2 2015Q3 2015IN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
17.4%
22.0%
29.0%
16.7%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
3.9%
2.9%
2.5%
2.4%
Q1 2015Q2 2015Q3 2015IN
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015IN
With Pressure Ulcers That Are New or Worsened