| General |
| City |
| Pewaukee |
Rib Lake |
| State attribute explanation |
| Wi |
Wi |
| Street |
| 321 Riverside Dr |
650 Pearl St Po Box 308 |
| Zip Code |
| 53,072 |
54,470 |
| Phone |
| 2,626,912,300 |
7,154,275,291 |
|
Overall Star Rating |
| 5 |
3 |
|
Health Inspections Star Rating |
| 5 |
2 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 2 |
5 |
|
Number of Certified Beds |
| 175 |
60 |
|
Total Number of Residents |
| 141 |
37 |
|
Percent of Occupied Beds |
| 81 % |
62 % |
| Health Survey Date |
| 11/22/2011 |
6/14/2012 |
| Fire Survey Date |
| 11/22/2011 |
6/22/2012 |
| 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 |
| 1 |
3 |
|
| Staff Information |
| Number of Residents |
| 141 |
37 |
| Number of RN Hours Per Resident Per Day |
| 0.41 |
1.17 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.68 |
0.43 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.1 |
1.6 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.13 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.13 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 1deficiency: Provide Housekeeping And Maintenance Services.survey Date: 04/05/2011date Of Correction: 05/05/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/09/2010date Of Correction: 11/18/2010 |
| 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: 08/24/2009date Of Correction: 09/18/2009 |
|
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 04/05/2011date Of Correction: 05/05/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 43.1 % |
28.6 % |
| 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 % |
5.7 % |
| 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 % |
11.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.9 % |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.9 % |
8.6:1 |
| Percent of long-stay residents who were physically restrained |
| 2.9 % |
2.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 8 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.1 % |
95.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 87.9 % |
91.3 % |
| 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 |
| 3.7 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 42.5 % |
26.4 % |
| 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 % |
20.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.6 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 12 % |
5.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 37.9 % |
44.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.6 % |
9.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.9 % |
4.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.9 % |
10.3:1 |
| Percent of long-stay residents who were physically restrained |
| 2.7 % |
2.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.4 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 8.6:1 |
31 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.3 % |
89.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.6 % |
87.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 8.1 / 8.8 |
75.2 % |