| General |
| City |
| Green Bay |
Green Bay |
| State attribute explanation |
| Wi |
Wi |
| Street |
| 1760 Shawano Ave |
2961 St Anthony Dr |
| Zip Code |
| 54,303 |
54,311 |
| Phone |
| 9,204,995,191 |
9,204,680,861 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 105 |
136 |
|
Total Number of Residents |
| 83 |
86 |
|
Percent of Occupied Beds |
| 79 % |
63 % |
| Health Survey Date |
| 12/12/2011 |
6/6/2012 |
| Fire Survey Date |
| 12/8/2011 |
6/6/2012 |
| 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 |
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 |
14 |
|
| Staff Information |
| Number of Residents |
| 83 |
86 |
| Number of RN Hours Per Resident Per Day |
| 1.11 |
0.92 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.58 |
0.43 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.69 |
1.34 |
| Number of CNA Hours Per Resident Per Day |
| 0.22 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.22 |
0.05 |
| 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: 03/12/2012date Of Correction: 04/01/2012 |
| 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: 03/12/2012date Of Correction: 04/01/2012 |
| Deficiency #2 |
|
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: 01/12/2012date Of Correction: 02/12/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 01/12/2012date Of Correction: 02/12/2012 |
| 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: 01/12/2012date Of Correction: 02/12/2012 |
| Deficiency #2 |
|
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: 01/11/2011date Of Correction: 02/04/2011 |
| Deficiency #3 |
|
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: 04/29/2009date Of Correction: 05/19/2009 |
| 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: 08/23/2010date Of Correction: 09/20/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/14/2012date Of Correction: 06/09/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/14/2012date Of Correction: 06/09/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/12/2012date Of Correction: 04/01/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 04/29/2009date Of Correction: 05/19/2009 |
| Deficiency #5 |
|
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: 04/22/2009date Of Correction: 05/11/2009 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/22/2009date Of Correction: 05/07/2009 |
| 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: 04/29/2009date Of Correction: 05/19/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 05/13/2010date Of Correction: 06/04/2010 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 11/19/2009date Of Correction: 12/18/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13 % |
24.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
2.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.1 % |
2.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 12.2 % |
5.4 % |
| Percent of long-stay residents who lose too much weight |
| 7.1 % |
12.4-2413.6-24 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.2 % |
32.4 (90.3) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4 % |
2.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.3 % |
4.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.9 % |
4.7 % |
| 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 |
| 23.7 (74.7) |
10.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.3 % |
95.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.3 % |
89.8 % |
| 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 |
| 1.4 % |
1.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 11.9 % |
21.6 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
1.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 3.6 % |
1.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9 % |
4.2 % |
| Percent of long-stay residents who lose too much weight |
| 6.1 % |
7.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 34.1 % |
31 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.7 % |
5.6:1 |
| Percent of long-stay residents with a urinary tract infection |
| 5.1 % |
5.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.6 % |
3 % |
| Percent of long-stay residents who were physically restrained |
| 0.5 - 2.0 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.5 % |
7.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 97.7 % |
94.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 96.5 % |
90.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11.8:1 |
18.2:1 |