| General |
| City |
| Fort Atkinson |
Weyauwega |
| State attribute explanation |
| Wi |
Wi |
| Street |
| 430 Wilcox St |
717 E Alfred St |
| Zip Code |
| 53,538 |
54,983 |
| Phone |
| 9,205,635,533 |
9,208,673,121 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 3 |
5 |
|
Number of Certified Beds |
| 87 |
60 |
|
Total Number of Residents |
| 70 |
41 |
|
Percent of Occupied Beds |
| 80 % |
68 % |
| Health Survey Date |
| 7/21/2011 |
9/12/2011 |
| Fire Survey Date |
| 7/18/2011 |
9/12/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 6 |
|
|
| Staff Information |
| Number of Residents |
| 70 |
41 |
| Number of RN Hours Per Resident Per Day |
| 0.75 |
1.13 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.55 |
0.51 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.3 |
1.64 |
| Number of CNA Hours Per Resident Per Day |
| 0.13 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.13 |
0.13 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel 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: 05/27/2010date Of Correction: 06/27/2010 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 07/21/2011date Of Correction: 08/20/2011 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 05/27/2010date Of Correction: 06/27/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.survey Date: 08/10/2009date Of Correction: 09/10/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/10/2009date Of Correction: 09/10/2009 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 05/27/2010date Of Correction: 06/27/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 52.5 % |
39.4 % |
| 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 |
| 5.6:1 |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.20 % |
|
| Percent of long-stay residents who lose too much weight |
| 5.1 % |
15.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.1 % |
13 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.7 % |
12.1:1 |
| Percent of long-stay residents who have depressive symptoms |
| 14 % |
20 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.2:1 |
32.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.9 % |
87.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.7 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
5.7 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 50.5 % |
41.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.7 % |
22.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.50 % |
1.4 % |
| Percent of long-stay residents who lose too much weight |
| 8.2 % |
6.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 49.3 % |
45.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 0.7 % |
6.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.1 % |
9.4 / 10.4 |
| Percent of long-stay residents who have depressive symptoms |
| 14.5 % |
12 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.1 % |
5.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 30.3 % |
32.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.8 % |
89.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.5 % |
99 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
17.7 % |