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LADYSMITH NURSING HOME

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LADYSMITH NURSING HOME VS
Nursing Homes USA
General
City LADYSMITH   0% Nursing Homes USA have LADYSMITH
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 1001 E 11TH ST N  
Zip Code 54848  
Phone 7155325546  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
62 
108.94
Total Number of Residents
56 
91.25
Percent of Occupied Beds
90 %
83.65 %
Health Survey Date 11/3/2011  
Fire Survey Date 11/14/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
10 
7.48
Staff Information
Number of Residents
56 
91.38
Number of RN Hours Per Resident Per Day
0.85 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.64 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.49 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/04/2010
date Of Correction: 11/09/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/04/2010
date Of Correction: 11/09/2010 
Deficiency #3 Scope: Some
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/05/2009
date Of Correction: 08/26/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Limit The Charges Against The Personal Funds Of A Resident For Items Or Services For Which Payment Is Made Under Medicare Or Medicaid.
survey Date: 10/04/2010
date Of Correction: 11/09/2010 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Give Each Resident A Notice Of Rights, Rules, Services And Charges. Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items And Services Medicaid Covers And Which The Resident Must Pay For.
survey Date: 10/04/2010
date Of Correction: 11/09/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 08/05/2009
date Of Correction: 08/26/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 10/04/2010
date Of Correction: 11/09/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 10/04/2010
date Of Correction: 11/09/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 10/04/2010
date Of Correction: 11/09/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 10/04/2010
date Of Correction: 11/09/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication 17.3:1 % 
Percent of long-stay residents whose need for help with daily activities has increased
3.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
16.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
75.2 %
12.58 %
Percent of long-stay residents who lose too much weight
15.7 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
9.6 %
28.38 %
Percent of long-stay residents who were physically restrained
1.9 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
31.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.2 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
7.7 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
15.6 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
11.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
0.8 %
9.22 %
Percent of long-stay residents who lose too much weight
14.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
45 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection 13.1:1 % 
Percent of long-stay residents who have depressive symptoms
7.1 %
19.86 %
Percent of long-stay residents who were physically restrained
1.9 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury 8.9 / 9.9 % 
Percent of short-stay residents who self-report moderate to severe pain
28.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.8 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
88.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 21.2:1 % 

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