WATER'S EDGE (HAYWARD, WI) Detailed Nursing Home Profile

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 35%

How often did nurses communicate well with patients?

Sometimes or never

Here:	2%
State:	3%

Usually

This Nursing Home:	16%
State:	17%

Always

Here:	82%
State:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	2%
State:	3%

Usually

Here:	11%
Wisconsin:	15%

Always

This Nursing Home:	87%
State:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	7%
State:	6%

Usually

This Nursing Home:	22%
Wisconsin:	24%

Always

This Nursing Home:	71%
Wisconsin:	70%

How often was patients' pain well controlled?

Sometimes or never

Here:	5%
State:	5%

Usually

Here:	22%
Wisconsin:	24%

Always

Here:	73%
Wisconsin:	71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

This Nursing Home:	16%
State:	15%

Usually

This Nursing Home:	19%
State:	18%

Always

Here:	65%
State:	67%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	3%
State:	5%

Usually

This Nursing Home:	14%
State:	17%

Always

Here:	83%
Wisconsin:	78%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Nursing Home:	5%
Wisconsin:	8%

Usually

This Nursing Home:	21%
Wisconsin:	30%

Always

This Nursing Home:	74%
State:	62%

Were patients given information about what to do during their recovery at home?

Yes

Here:	91%
State:	87%

Here:	9%
Wisconsin:	13%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Nursing Home:	5%
State:	6%

7 or 8

This Nursing Home:	20%
State:	21%

9 or 10

Here:	75%
State:	73%

Would patients recommend the hospital to friends and family?

Here:	2%
Wisconsin:	3%

Yes, probably

Here:	27%
Wisconsin:	24%

Yes, definitely

This Nursing Home:	71%
Wisconsin:	73%

Complaint Deficiency

Dispose of garbage and refuse properly
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
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
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide access to a telephone for resident to use in private
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide a safe, clean, comfortable and homelike environment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Smoke barrier doors that can resist smoke for at least 20 minutes
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Properly maintained smoke detectors
- Harm: Potential for minimal harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

Here:	80.0%
State:	98.3%

Percent of Patients Given Discharge Instructions

This Nursing Home:	100.0%
State:	91.1%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

Here:	100.0%
State:	97.9%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	93.0%
State:	97.6%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Nursing Home:	90.0%
Wisconsin:	95.6%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	82.0%
State:	93.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
State:	96.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

This Nursing Home:	11.8%
State:	11.7%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	10.7%
Wisconsin:	11.9%

30-Day Readmission Rates from Heart Failure

Here:	22.8%
State:	23.7%

30-Day Readmission Rates from Pneumonia

Here:	18.7%
Wisconsin:	18.1%

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	7.5%
State:	15.6%

Percent of long-stay residents who self-report moderate to severe pain

Here:	8.5%
State:	11.2%

Percent of long-stay residents who lose too much weight

Here:	2.2%
Wisconsin:	7.2%

Percent of long-stay residents with a urinary tract infection

Here:	8.9%
Wisconsin:	6.4%

Percent of long-stay residents who have depressive symptoms

Here:	6.5%
State:	6.9%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	10.9%
Wisconsin:	3.4%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	97.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
Wisconsin:	98.4%

Percent of short-stay residents who self-report moderate to severe pain

Here:	15.0%
Wisconsin:	21.8%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	8.4%
Wisconsin:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	87.0%
State:	92.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	87.0%
Wisconsin:	92.0%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	11.1%
State:	18.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.800
Wisconsin:	0.887

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.570
State:	0.546

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.370
State:	1.429

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.280
Wisconsin:	0.074

Number Therapy Hours Per Resident Per Day

Here:	0.280
State:	0.079

WATER'S EDGE - HAYWARD, WI

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Quality Measures

Staff Information

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