| General |
| City |
| New Berlin |
Dodgeville |
| State attribute explanation |
| Wi |
Wi |
| Street |
| 13755 W Fieldpointe Dr |
3151 Cty Rd Ch |
| Zip Code |
| 53,151 |
53,533 |
| Phone |
| 2,627,963,660 |
6,089,353,321 |
|
Overall Star Rating |
| 5 |
4 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 5 |
4 |
|
RN Only Star Rating |
| 4 |
5 |
|
Number of Certified Beds |
| 135 |
85 |
|
Total Number of Residents |
| 123 |
66 |
|
Percent of Occupied Beds |
| 91 % |
78 % |
| Health Survey Date |
| 12/20/2011 |
3/7/2012 |
| Fire Survey Date |
| 12/20/2011 |
3/6/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully 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 |
Both |
| 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 |
| 3 |
|
|
| Staff Information |
| Number of Residents |
| 123 |
66 |
| Number of RN Hours Per Resident Per Day |
| 0.97 |
0.98 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.49 |
0.2 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.45 |
1.18 |
| Number of CNA Hours Per Resident Per Day |
| 0.1 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.08 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 10/20/2009date Of Correction: 11/15/2009 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/20/2009date Of Correction: 11/15/2009 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 10/20/2009date Of Correction: 11/15/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 15.1 % |
16.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.9 % |
24.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.6:1 |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 10.5 % |
11.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 63.9 % |
9.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.2 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.6:1 |
3.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.3 % |
7.9:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 7.2 % |
38.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.2 % |
74.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.6 % |
87.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 0.5 - 2.0 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.1 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.7 % |
21.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.1:1 |
19.5-24 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.1 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 7.5 % |
9.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 67.8 % |
14.7:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.8 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.9 / 9.9 |
7 % |
| Percent of long-stay residents who have depressive symptoms |
| 9.4 / 10.4 |
7.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.4 % |
2.6 / 3 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 9.1 % |
33 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 99.2 % |
82.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.3 % |
83.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 7.4 % |
6.7 % |