| General |
| City |
| New Richmond |
Rib Lake |
| State attribute explanation |
| Wi |
Wi |
| Street |
| 505 W 8th St |
650 Pearl St Po Box 308 |
| Zip Code |
| 54,017 |
54,470 |
| Phone |
| 7,152,466,851 |
7,154,275,291 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 61 |
60 |
|
Total Number of Residents |
| 29 |
37 |
|
Percent of Occupied Beds |
| 48 % |
62 % |
| Health Survey Date |
| 6/15/2011 |
6/14/2012 |
| Fire Survey Date |
| 7/12/2011 |
6/22/2012 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 3 |
75.2 |
| Total Enforcement Actions Count |
| 3 |
75.2 |
| # of deficiencies |
| 4 |
3 |
|
| Staff Information |
| Number of Residents |
| 29 |
37 |
| Number of RN Hours Per Resident Per Day |
| 1.34 |
1.17 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.43 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.34 |
1.6 |
| Number of CNA Hours Per Resident Per Day |
| 0.02 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.02 |
0.13 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/24/2010date Of Correction: 04/09/2010 |
Scope: Manylevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/05/2011date Of Correction: 05/05/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/09/2010date Of Correction: 11/18/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/01/2010date Of Correction: 05/18/2010 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 4deficiency: 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: 07/01/2010date Of Correction: 05/18/2010 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 4deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 07/01/2010date Of Correction: 05/18/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 04/05/2011date Of Correction: 05/05/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
28.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
|
5.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
11.3 % |
| Percent of long-stay residents with a urinary tract infection |
|
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
|
8.6:1 |
| Percent of long-stay residents who were physically restrained |
|
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.8 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 73.8 % |
95.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 67.4 % |
91.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.5 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
|
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25 % |
26.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.5 % |
20.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.8:1 |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 5.9 % |
5.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
44.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.6 % |
9.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.4 % |
4.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.8 % |
10.3:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 37.5 % |
31 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 68.7 % |
89.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 57.7 % |
87.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 7.7 % |
75.2 % |