| General |
| City |
| Green Bay |
Madison |
| State attribute explanation |
| Wi |
Wi |
| Street |
| 600 S Webster Ave |
4325 Nakoma Rd |
| Zip Code |
| 54,301 |
53,711 |
| Phone |
| 9,204,323,213 |
6,082,717,321 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 3 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
1 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 5 |
1 |
|
Number of Certified Beds |
| 79 |
68 |
| Total Number of Residents |
| 46 |
33 |
|
Percent of Occupied Beds |
| 58 % |
49 % |
| Health Survey Date |
| 11/15/2011 |
12/15/2011 |
| Fire Survey Date |
| 11/22/2011 |
12/13/2011 |
| 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 |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
4 |
| Total Enforcement Actions Count |
| 75.2 |
4 |
| # of deficiencies |
| 12 |
27 |
|
| Staff Information |
| Number of Residents |
| 46 |
33 |
| Number of RN Hours Per Resident Per Day |
| 1.65 |
0.36 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.27 |
0.9 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.93 |
1.27 |
| Number of CNA Hours Per Resident Per Day |
| 0.17 |
0.14 |
| Number Therapy Hours Per Resident Per Day |
| 0.17 |
0.14 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 07/29/2010date Of Correction: 08/20/2010 |
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: 04/04/2012date Of Correction: 05/23/2012 |
| Deficiency #2 |
| 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: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 04/04/2012date Of Correction: 05/23/2012 |
| Deficiency #3 |
|
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: 03/03/2010date Of Correction: 04/03/2010 |
| Deficiency #4 |
|
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: 12/17/2009date Of Correction: 01/08/2010 |
| 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: 04/27/2011date Of Correction: 05/18/2011 |
Scope: Manylevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/03/2010date Of Correction: 12/12/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Manylevel 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: 11/03/2010date Of Correction: 12/12/2010 |
| Deficiency #3 |
| 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: 07/29/2010date Of Correction: 08/20/2010 |
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: 07/28/2010date Of Correction: 08/15/2010 |
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 05/06/2010date Of Correction: 05/21/2010 |
| Deficiency #5 |
|
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: 05/06/2010date Of Correction: 05/21/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 05/06/2010date Of Correction: 05/21/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: 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: 05/07/2012date Of Correction: 05/23/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 04/04/2012date Of Correction: 05/23/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 1deficiency: Tell The Resident Or The Resident's Representative In Writing How Long The Nursing Home Will Hold The Resident's Bed.survey Date: 02/28/2011date Of Correction: 02/28/2011 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 11/03/2010date Of Correction: 12/12/2010 |
| Deficiency #5 |
|
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: 07/28/2010date Of Correction: 08/15/2010 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 03/03/2010date Of Correction: 04/03/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 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: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/24/2011date Of Correction: 11/02/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Somelevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 11/03/2010date Of Correction: 12/12/2010 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/03/2010date Of Correction: 04/03/2010 |
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 03/03/2010date Of Correction: 04/03/2010 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 11/10/2009date Of Correction: 12/17/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 04/04/2012date Of Correction: 05/23/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 03/03/2010date Of Correction: 04/03/2010 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 07/29/2010date Of Correction: 08/20/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician.survey Date: 11/03/2010date Of Correction: 12/12/2010 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 05/07/2012date Of Correction: 05/23/2012 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.survey Date: 03/03/2010date Of Correction: 04/03/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Food In A Way That Meets A Resident's Needs.survey Date: 03/03/2010date Of Correction: 04/03/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.8 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 75.2 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 13.3 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 12.9 (55.2) |
|
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.6 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.2 % |
68.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 89.7 % |
59.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4.3 % |
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 |
| 3.4 % |
32.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 17.5 % |
7.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.4 % |
1.50 % |
| Percent of long-stay residents who lose too much weight |
| 1.1 % |
3.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 30.4 % |
26.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.2 % |
6.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.1 % |
8.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.8 % |
4.7 % |
| 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 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19 % |
25.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.6 % |
73 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.6 % |
61.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 10.8 % |
75.2 % |