BIRCHWOOD HEALTHCARE AND REHAB CENTER

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General
City	MILWAUKEE	vs	0.2% Nursing Homes USA have MILWAUKEE
State attribute explanation	WI	vs	2.5% Nursing Homes USA have WI	compare WI Nursing Homes USA
Street	9632 W APPLETON AVE
Zip Code	53225
Phone	4144618850
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (4)
Quality Measures Star Rating	2 (1.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (2)
RN Only Star Rating	4 (0.83 higher than average)	vs	3.17	Compare similar RN Only Star Rating (4)
Number of Certified Beds	198 (89.06 higher than average)	vs	108.94	Compare similar Number of Certified Beds (198)
Total Number of Residents	109 (17.75 higher than average)	vs	91.25	Compare similar Total Number of Residents (109)
Percent of Occupied Beds	55 % (28.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (55) %
Health Survey Date	10/31/2011
Fire Survey Date	10/28/2011
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	Yes	vs	54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils	RESIDENT	vs	66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	No	vs	68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	2 (56.16 lower than average)	vs	58.16
Total Enforcement Actions Count	3 (53.31 lower than average)	vs	56.31
# of deficiencies	13 (5.52 higher than average)	vs	7.48

Staff Information
Number of Residents	109 (17.62 higher than average)	vs	91.38
Number of RN Hours Per Resident Per Day	1.06 (0.29 higher than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.81 (0.03 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.87 (0.28 higher than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.02 (5.47 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.02 (0.08 lower than average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 04/19/2012 date Of Correction: 05/10/2012
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading. survey Date: 10/31/2011 date Of Correction: 12/14/2011

Mistreatment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: 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. survey Date: 05/23/2012 date Of Correction: 06/04/2012
Deficiency #2		Scope: Some level Of Harm: 4 deficiency: 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. survey Date: 10/31/2011 date Of Correction: 12/14/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 10/31/2011 date Of Correction: 12/14/2011

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 10/31/2011 date Of Correction: 12/14/2011

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 04/19/2012 date Of Correction: 05/10/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 10/31/2011 date Of Correction: 12/19/2011
Deficiency #3		Scope: Few level Of Harm: 4 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 10/31/2011 date Of Correction: 12/14/2011

Pharmacy Service Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 04/19/2012 date Of Correction: 05/10/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 04/19/2012 date Of Correction: 05/10/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 04/19/2012 date Of Correction: 05/10/2012
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being. survey Date: 04/19/2012 date Of Correction: 05/10/2012

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	28.4 % (3.31 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	1.8 % (31.15 % lower than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	7.1 % (9.56 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	9.3 % (3.28 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	7.5 % (4.33 % lower than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	2.8 % (12.83 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	8.6:1 %
Percent of long-stay residents who have depressive symptoms	1.2 % (27.18 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	6.4 % (37.28 % lower than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	35 % (9.98 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	81.2 % (3.44 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	81.3 % (2.64 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 % (29.3 % higher than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	75.2 % (59.68 % higher than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	31.5 % (6.11 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	2.4 % (21.3 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	5.7 % (8.4 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	10.4 % (1.18 % higher than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	4.3 % (4.2 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	37 % (6.38 % lower than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	5 % (5.65 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	12.8:1 %
Percent of long-stay residents who have depressive symptoms	1.50 % (18.36 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	6.3 % (32.23 % lower than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	75.2 % (64.47 % higher than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	32.7 (90.9) % (7.94 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	76.9 % (4.54 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	74.2 % (0.55 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	2.6 / 3 %