| General |
| City |
| Weyauwega |
New Holstein |
| State attribute explanation |
| Wi |
Wi |
| Street |
| 717 E Alfred St |
1610 Hoover St |
| Zip Code |
| 54,983 |
53,061 |
| Phone |
| 9,208,673,121 |
9,208,985,706 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 3 |
5 |
|
RN Only Star Rating |
| 5 |
5 |
|
Number of Certified Beds |
| 60 |
49 |
|
Total Number of Residents |
| 41 |
47 |
|
Percent of Occupied Beds |
| 68 % |
96 % |
| Health Survey Date |
| 9/12/2011 |
1/26/2012 |
| Fire Survey Date |
| 9/12/2011 |
1/30/2012 |
| 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 |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
|
4 |
|
| Staff Information |
| Number of Residents |
| 41 |
47 |
| Number of RN Hours Per Resident Per Day |
| 1.13 |
1.22 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.51 |
0.2 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.64 |
1.43 |
| Number of CNA Hours Per Resident Per Day |
| 0.13 |
0.1 |
| Number Therapy Hours Per Resident Per Day |
| 0.13 |
0.1 |
| 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: 09/01/2009date Of Correction: 09/28/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/01/2009date Of Correction: 09/28/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 09/01/2009date Of Correction: 09/28/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 09/01/2009date Of Correction: 09/28/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 39.4 % |
12.8:1 |
| 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 |
|
12 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 15.2 % |
5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 13 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 12.1:1 |
2.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 20 % |
5.1 % |
| 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 |
| 32.1 % |
23.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 87.1 % |
87.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
85.3 % |
| 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 |
| 5.7 % |
2.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 41.1 % |
12.7 % |
| 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 |
| 22.5 % |
11.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.4 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 6.3 % |
7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 45.7 % |
75.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.9 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.4 / 10.4 |
12.3:1 |
| Percent of long-stay residents who have depressive symptoms |
| 12 % |
5.4 % |
| 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 |
| 5.9 % |
1.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 32.9 % |
26.3 (79.3) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.7 % |
91.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99 % |
92.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 17.7 % |
75.2 % |