MILLWAY CARE AND REHABILITATION 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	8534 W MILL RD
Zip Code	53226
Phone	4143582090
Overall Star Rating	1 (2.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (1)
Health Inspections Star Rating	1 (1.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (1)
Nurse Staffing Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
Quality Measures Star Rating	4 (0.69 higher than average)	vs	3.31	Compare similar Quality Measures Star Rating (4)
RN Only Star Rating	2 (1.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (2)
Number of Certified Beds	81 (27.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (81)
Total Number of Residents	55 (36.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (55)
Percent of Occupied Beds	68 % (15.65 % lower than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (68) %
Health Survey Date	9/14/2011
Fire Survey Date	8/25/2011
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?	No	vs	45.1% Nursing Homes USA don't 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	2 (54.31 lower than average)	vs	56.31
# of deficiencies	16 (8.52 higher than average)	vs	7.48

Staff Information
Number of Residents	55 (36.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.37 (0.4 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	1.07 (0.23 higher than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.44 (0.15 lower 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: Many level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 09/14/2011 date Of Correction: 10/14/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Provide Housekeeping And Maintenance Services. survey Date: 09/14/2011 date Of Correction: 10/14/2011
Deficiency #3		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: 08/24/2010 date Of Correction: 09/15/2010
Deficiency #4		Scope: Some level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public. survey Date: 07/08/2009 date Of Correction: 08/19/2009
Deficiency #5		Scope: Few level Of Harm: 2 deficiency: Keep All Essential Equipment Working Safely. survey Date: 07/08/2009 date Of Correction: 08/19/2009
Deficiency #6		Scope: Few level Of Harm: 3 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 07/08/2009 date Of Correction: 08/19/2009

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 09/14/2011 date Of Correction: 10/14/2011
Deficiency #2		Scope: Some level Of Harm: 1 deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential. survey Date: 09/14/2011 date Of Correction: 10/14/2011
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 08/24/2010 date Of Correction: 09/15/2010
Deficiency #4		Scope: Many level Of Harm: 2 deficiency: Provide Proof That All Residents' Personal Money Which Is Deposited With The Nursing Home, Is Secure. survey Date: 07/08/2009 date Of Correction: 09/17/2009

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: 09/14/2011 date Of Correction: 10/14/2011
Deficiency #2		Scope: Some level Of Harm: 2 deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations. survey Date: 08/24/2010 date Of Correction: 09/15/2010
Deficiency #3		Scope: Few level Of Harm: 4 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 08/24/2010 date Of Correction: 09/15/2010
Deficiency #4		Scope: Few level Of Harm: 4 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 08/24/2010 date Of Correction: 09/15/2010
Deficiency #5		Scope: Some level Of Harm: 2 deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care. survey Date: 07/08/2009 date Of Correction: 08/19/2009

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 08/24/2010 date Of Correction: 09/15/2010

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	32.7 (90.9) % (7.61 % higher than average)	vs	25.09 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	75.2 % (58.54 % higher than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	5.3 % (7.28 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	14.5 % (2.67 % higher than average)	vs	11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.1 % (11.53 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	9.1 % (4.36 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	1.9 % (26.48 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	75.2 % (31.52 % higher than average)	vs	43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	96 % (11.36 % higher than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	96.3 % (12.36 % higher 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	1.8 % (13.72 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	29.3 % (3.91 % higher than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	5 % (18.7 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	0.7 % (13.4 % lower than average)	vs	14.10 %
Percent of long-stay high-risk residents with pressure ulcers	6.4 % (2.82 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	10.2 % (1.7 % higher than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	55.6 % (12.22 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.5 % (6.15 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	6.6 % (2.98 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	2.5 % (17.36 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	75.2 % (36.67 % higher than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	3 % (7.73 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	10.3:1 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	97.1 % (15.66 % higher than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	94.5 % (19.75 % higher than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	2.6 / 3 %