|
|
General |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
75.2 % |
|
| City |
|
WEST SALEM |
0% Nursing Homes USA have WEST SALEM |
| State attribute explanation |
|
WI |
2.5% Nursing Homes USA have WI
|
| Street |
|
902 E GARLAND ST |
|
| Zip Code |
|
54669 |
|
| Phone |
|
6087861400 |
|
| Overall Star Rating |
|
|
|
| Health Inspections Star Rating |
|
|
|
| Nurse Staffing Star Rating |
|
|
|
| Quality Measures Star Rating |
|
|
|
| RN Only Star Rating |
|
|
|
| Number of Certified Beds |
|
|
|
| Total Number of Residents |
|
|
|
| Percent of Occupied Beds |
|
|
|
| Health Survey Date |
|
2/16/2012 |
|
| Fire Survey Date |
|
2/28/2012 |
|
| Sprinkler Status |
|
Fully Sprinklered |
90.2% Nursing Homes USA have Fully Sprinklered |
| Program Participation |
|
Medicaid |
3.5% Nursing Homes USA have Medicaid
|
| Type of Ownership |
|
Government - County |
2.9% Nursing Homes USA have Government - County
|
| 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 |
|
Both |
29.8% Nursing Homes USA have Both |
| 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 |
|
|
|
| Total Enforcement Actions Count |
|
|
|
| # of deficiencies |
|
|
|
|
|
|
Staff Information |
| Number of Residents |
|
|
|
| Number of RN Hours Per Resident Per Day |
|
|
|
| Number of LPN/LVN Hours Per Resident Per Day |
|
|
|
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
|
|
| Number of CNA Hours Per Resident Per Day |
|
|
|
| Number Therapy Hours Per Resident Per Day |
|
|
|
|
|
Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
|
|
Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Some
level Of Harm: 4
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #2 |
|
Scope: Some
level Of Harm: 4
deficiency: 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: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #3 |
|
Scope: Some
level Of Harm: 2
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #4 |
|
Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 04/29/2009
date Of Correction: 06/19/2009 |
|
|
|
Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Few
level Of Harm: 2
deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #2 |
|
Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #3 |
|
Scope: Few
level Of Harm: 2
deficiency: 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: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #4 |
|
Scope: Some
level Of Harm: 2
deficiency: Tell The Resident Completely About His Or Her Health Status, Care And Treatments.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
|
|
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: 02/16/2012
date Of Correction: 03/05/2012 |
|
| Deficiency #2 |
|
Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #3 |
|
Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #4 |
|
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: 01/19/2011
date Of Correction: 03/03/2011 |
|
|
|
Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Some
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #2 |
|
Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 04/29/2009
date Of Correction: 06/19/2009 |
|
|
|
Administration Deficiencies |
| Deficiency #1 |
|
Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 04/29/2009
date Of Correction: 06/19/2009 |
|
|
|
Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Some
level Of Harm: 2
deficiency: At Least Once A Month, Have A Licensed Pharmacist Review Each Resident's Medication(s) And Report Any Irregularities To The Attending Doctor.
survey Date: 01/19/2011
date Of Correction: 03/03/2011 |
|
| Deficiency #2 |
|
Scope: Some
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: 01/19/2011
date Of Correction: 03/03/2011 |
|
|
|
Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
|
|
|
| Percent of long-stay residents whose need for help with daily activities has increased |
|
|
|
| Percent of long-stay residents who self-report moderate to severe pain |
|
|
|
| Percent of long-stay high-risk residents with pressure ulcers |
|
|
|
| Percent of long-stay residents who lose too much weight |
|
|
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
|
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
|
|
| Percent of long-stay residents with a urinary tract infection |
|
|
|
| Percent of long-stay residents who have depressive symptoms |
|
8.6:1 % |
|
| Percent of long-stay residents who were physically restrained |
|
|
|
| Percent of short-stay residents who self-report moderate to severe pain |
|
|
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
|
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
|
|
| Percent of long-stay residents experiencing one or more falls with major injury |
|
|
|
|
|
Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
|
|
|
| Percent of long-stay residents whose need for help with daily activities has increased |
|
|
|
| Percent of long-stay residents who self-report moderate to severe pain |
|
|
|
| Percent of long-stay high-risk residents with pressure ulcers |
|
|
|
| Percent of long-stay residents who lose too much weight |
|
8.6:1 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
|
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
|
|
|
| Percent of long-stay residents with a urinary tract infection |
|
|
|
| Percent of long-stay residents who have depressive symptoms |
|
|
|
| Percent of long-stay residents who were physically restrained |
|
|
|
| Percent of long-stay residents experiencing one or more falls with major injury |
|
|
|
| Percent of short-stay residents who self-report moderate to severe pain |
|
|
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
|
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
|
|
| Percent of short-stay residents who newly received an antipsychotic medication |
|
|
|