| Westminster Village | |
| 2025 East Lincoln Street, Bloomington, Illinois 61701 | |
| (309) 663-6474 | |
| Name | Westminster Village |
|---|---|
| Location | 2025 East Lincoln Street, Bloomington, Illinois |
| Certified By | Medicare |
| No. of Certified Beds | 48 |
| Occupancy Rate | 86.25% |
| Medicare ID (CCN) | 145400 |
| Legal Business Name | Westminster Village Inc |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1346315165 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Westminster Village Inc |
| Address | 2025 E. Lincoln, Bloomington, IL 61701 |
| Phone Number | 309-663-6474 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.2 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.29 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.24 | 0.86 |
| Nurse aide hours per resident per day | 2.68 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.63 | 3.42 |
| RN hours per resident per day on the weekend | 0.87 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 36.5% | 45.8% |
| Registered nurse turnover | 27.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $12,149 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 29, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Jun 15, 2026 |
| May 29, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 15, 2026 |
| Apr 23, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Mar 31, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Apr 13, 2026 |
| Apr 10, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Apr 10, 2024 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 29, 2024 |
| Mar 26, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Apr 29, 2024 |
| Jun 23, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jul 7, 2023 |
| Jun 23, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 7, 2023 |
| Jun 23, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 7, 2023 |
| Jun 23, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 7, 2023 |
| Jun 23, 2023 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2023 |
| Jun 23, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Minimal harm potential, widespread | Corrected by Jul 7, 2023 |
| Oct 14, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Oct 27, 2022 |
| Oct 14, 2022 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2022 |
| Oct 14, 2022 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.71 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.52 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.98 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 6.9 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 21.11 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.56 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.62 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 32.73 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.29 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.89 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.84 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.53 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.54 | 15.38 |
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