General |
City |
Pewaukee |
Milwaukee |
State attribute explanation |
Wi |
Wi |
Street |
321 Riverside Dr |
2505 E Bradford Ave |
Zip Code |
53,072 |
53,211 |
Phone |
2,626,912,300 |
4,149,636,151 |
Overall Star Rating |
5 |
5 |
Health Inspections Star Rating |
5 |
4 |
Nurse Staffing Star Rating |
2 |
5 |
Quality Measures Star Rating |
4 |
4 |
RN Only Star Rating |
2 |
5 |
Number of Certified Beds |
175 |
40 |
Total Number of Residents |
141 |
24 |
Percent of Occupied Beds |
81 % |
60 % |
Health Survey Date |
11/22/2011 |
6/25/2012 |
Fire Survey Date |
11/22/2011 |
6/25/2012 |
Sprinkler Status |
Fully Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
For Profit - Corporation |
Non Profit - Corporation |
Located Within a Hospital? |
No |
No |
Multi Nursing Home Ownership? |
Yes |
No |
Resident and Family Councils |
Resident |
Resident |
Continuing Care Retirement Community? |
No |
Yes |
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 |
1 |
4 |
|
Staff Information |
Number of Residents |
141 |
24 |
Number of RN Hours Per Resident Per Day |
0.41 |
1.81 |
Number of LPN/LVN Hours Per Resident Per Day |
0.68 |
0.88 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.1 |
2.69 |
Number of CNA Hours Per Resident Per Day |
0.04 |
0.06 |
Number Therapy Hours Per Resident Per Day |
0.04 |
0.06 |
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: 08/01/2011date Of Correction: 09/04/2011 |
Mistreatment Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/20/2009date Of Correction: 11/19/2009 |
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: 10/20/2009date Of Correction: 11/19/2009 |
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: 08/24/2009date Of Correction: 09/18/2009 |
|
Resident Assessment Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 1deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.survey Date: 10/20/2009date Of Correction: 11/09/2009 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
43.1 % |
44.7 % |
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 |
0.9 % |
|
Percent of long-stay high-risk residents with pressure ulcers |
9.4 / 10.4 |
|
Percent of long-stay residents who lose too much weight |
13.2 % |
11.1 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
42.9 % |
|
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5.4 % |
75.2 % |
Percent of long-stay residents with a urinary tract infection |
5.9 % |
11.1 % |
Percent of long-stay residents who have depressive symptoms |
2.9 % |
2.6 / 3 |
Percent of long-stay residents who were physically restrained |
2.9 % |
2.6 / 3 |
Percent of short-stay residents who self-report moderate to severe pain |
8 % |
33.3 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
93.1 % |
90.2 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
87.9 % |
88.9 % |
Percent of short-stay residents who newly received an antipsychotic medication |
75.2 |
5.6:1 |
Percent of long-stay residents experiencing one or more falls with major injury |
3.7 % |
5.1 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
42.5 % |
51.2 % |
Percent of long-stay residents whose need for help with daily activities has increased |
2.1 % |
75.2 % |
Percent of long-stay residents who self-report moderate to severe pain |
0.6 % |
4.5 % |
Percent of long-stay high-risk residents with pressure ulcers |
6.6 % |
6.2 % |
Percent of long-stay residents who lose too much weight |
12 % |
19.3 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
37.9 % |
57.1 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.6 % |
75.2 % |
Percent of long-stay residents with a urinary tract infection |
5.9 % |
7.2 % |
Percent of long-stay residents who have depressive symptoms |
1.9 % |
1.1 % |
Percent of long-stay residents who were physically restrained |
2.7 % |
3.4 % |
Percent of long-stay residents experiencing one or more falls with major injury |
2.4 % |
4.6 % |
Percent of short-stay residents who self-report moderate to severe pain |
8.6:1 |
25.6 (78.1) |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
90.3 % |
88.9 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
92.6 % |
92.6 % |
Percent of short-stay residents who newly received an antipsychotic medication |
8.1 / 8.8 |
2.20 % |