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Willowbrooke Court-Southampton

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About Willowbrooke Court-Southampton

General Information

Legal Business NameActs Retirement-Life Communities Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 19, 1980 (36 years)
Capacity120
Residents92
Percent Occupied77%
Program ParticipationMedicare
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Willowbrooke Court-Southampton

Willowbrooke Court-Southampton
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Pennsylvania 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

February 23, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.

March 28, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

March 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Willowbrooke Court-Southampton 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 25min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
55min
55min
ReportedExpected
RN
3hr 45min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
96.9%
96.9%
95.7%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
94.0%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
62.5%
48.9%
39.5%
56.0%
Q1 2015Q2 2015Q3 2015PA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
14.9%
9.4%
9.1%
16.8%
Q1 2015Q2 2015Q3 2015PA
Received an Antipsychotic Medication
12.5%
6.2%
10.0%
15.3%
Q1 2015Q2 2015Q3 2015PA
Need for Help with ADLs has Increased
5.7%
7.5%
11.0%
8.3%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
3.4%
9.5%
9.2%
7.6%
Q1 2015Q2 2015Q3 2015PA
Lose Too Much Weight
1.5%
3.8%
4.0%
5.3%
Q1 2015Q2 2015Q3 2015PA
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
3.5%
Q1 2015Q2 2015Q3 2015PA
Have Depressive Symptoms
5.7%
7.1%
3.4%
4.3%
Q1 2015Q2 2015Q3 2015PA
With a Urinary Tract Infection
3.4%
0.0%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015PA
Experiencing One or More Falls with Major Injury
0.0%
2.5%
2.8%
3.3%
Q1 2015Q2 2015Q3 2015PA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015PA
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
97.5%
94.2%
82.8%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
97.0%
94.1%
94.1%
83.4%
Q1 2015Q2 2015Q3 2015PA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
19.7%
27.9%
14.1%
18.2%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
2.3%
2.3%
0.0%
2.0%
Q1 2015Q2 2015Q3 2015PA
Newly Received an Antipsychotic Medication
0.0%
1.6%
1.8%
1.2%
Q1 2015Q2 2015Q3 2015PA
With Pressure Ulcers That Are New or Worsened