| General |
| City |
| Racine |
Owen |
| State attribute explanation |
| Wi |
Wi |
| Street |
| 1700 C A Becker Dr |
W4266 State Hwy 29 |
| Zip Code |
| 53,406 |
54,460 |
| Phone |
| 2,626,379,751 |
7,152,292,172 |
|
Overall Star Rating |
| 2 |
2 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 3 |
5 |
|
Number of Certified Beds |
| 122 |
172 |
|
Total Number of Residents |
| 89 |
157 |
|
Percent of Occupied Beds |
| 73 % |
91 % |
| Health Survey Date |
| 11/8/2011 |
10/25/2011 |
| Fire Survey Date |
| 11/11/2011 |
10/27/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Government - County |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 2 |
1 |
| Total Enforcement Actions Count |
| 3 |
1 |
| # of deficiencies |
| 14 |
9 |
|
| Staff Information |
| Number of Residents |
| 89 |
157 |
| Number of RN Hours Per Resident Per Day |
| 0.73 |
0.87 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.53 |
0.28 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.27 |
1.15 |
| Number of CNA Hours Per Resident Per Day |
| 0.13 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.13 |
0.04 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/27/2010date Of Correction: 09/02/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 11/08/2011date Of Correction: 12/12/2011 |
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/25/2011date Of Correction: 11/28/2011 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/28/2010date Of Correction: 12/09/2010 |
Scope: Somelevel Of Harm: 2deficiency: 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: 10/25/2011date Of Correction: 11/28/2011 |
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: 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: 10/28/2010date Of Correction: 12/09/2010 |
Scope: Manylevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 03/30/2010date Of Correction: 04/30/2010 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 08/27/2009date Of Correction: 09/11/2009 |
Scope: Somelevel Of Harm: 2deficiency: 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: 03/30/2010date Of Correction: 04/30/2010 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 03/30/2010date Of Correction: 04/30/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 11/08/2011date Of Correction: 12/12/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 10/30/2009date Of Correction: 11/30/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 11/08/2011date Of Correction: 12/12/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/30/2010date Of Correction: 04/30/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/08/2011date Of Correction: 12/12/2011 |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 3deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 08/27/2009date Of Correction: 09/11/2009 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/27/2009date Of Correction: 09/11/2009 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 11/08/2011date Of Correction: 12/12/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 07/27/2010date Of Correction: 09/02/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/30/2010date Of Correction: 04/30/2010 |
| 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: 12/20/2011date Of Correction: 01/20/2012 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 11/08/2011date Of Correction: 12/12/2011 |
|
| Deficiency #2 |
| Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/27/2009date Of Correction: 09/11/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 9.3 % |
26.6 (79.9) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.8 % |
5.6:1 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.3:1 |
9.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.6 % |
1.1 % |
| Percent of long-stay residents who lose too much weight |
| 4.3 % |
7.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 51.3 % |
54 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.9 % |
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.6:1 |
4.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.4 % |
29.5 % |
| 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 |
| 17 % |
21.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88 % |
83.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.9 % |
82.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.1 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.4 % |
4.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.5 % |
29.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.20 % |
2.6 / 3 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.4 % |
11.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.7 % |
1.1 % |
| Percent of long-stay residents who lose too much weight |
| 5.9 % |
5.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 60.4 % |
49 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.1 % |
4.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 10.2 % |
7.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.7 % |
28.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.9 % |
4.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.1 % |
23.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.4 % |
72.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 94.5 % |
77.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.1 % |
17.7 % |