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MILLWAY CARE AND REHABILITATION CENTER

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MILLWAY CARE AND REHABILITATION CENTER VS
Nursing Homes USA
General
City MILWAUKEE   0.2% Nursing Homes USA have MILWAUKEE
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 8534 W MILL RD  
Zip Code 53226  
Phone 4143582090  
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
81 
108.94
Total Number of Residents
55 
91.25
Percent of Occupied Beds
68 %
83.65 %
Health Survey Date 9/14/2011  
Fire Survey Date 8/25/2011  
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
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
16 
7.48
Staff Information
Number of Residents
55 
91.38
Number of RN Hours Per Resident Per Day
0.37 
0.77
Number of LPN/LVN Hours Per Resident Per Day
1.07 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.44 
1.59
Number of CNA Hours Per Resident Per Day
0.02 
5.49
Number Therapy Hours Per Resident Per Day
0.02 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 09/14/2011
date Of Correction: 10/14/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/14/2011
date Of Correction: 10/14/2011 
Deficiency #3 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: 08/24/2010
date Of Correction: 09/15/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 07/08/2009
date Of Correction: 08/19/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 07/08/2009
date Of Correction: 08/19/2009 
Deficiency #6 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: 07/08/2009
date Of Correction: 08/19/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 09/14/2011
date Of Correction: 10/14/2011 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 09/14/2011
date Of Correction: 10/14/2011 
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: 08/24/2010
date Of Correction: 09/15/2010 
Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Provide Proof That All Residents' Personal Money Which Is Deposited With The Nursing Home, Is Secure.
survey Date: 07/08/2009
date Of Correction: 09/17/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/14/2011
date Of Correction: 10/14/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Develop Policies And Procedures For Influenza And Pneumococcal Immunizations.
survey Date: 08/24/2010
date Of Correction: 09/15/2010 
Deficiency #3 Scope: Few
level Of Harm: 4
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 08/24/2010
date Of Correction: 09/15/2010 
Deficiency #4 Scope: Few
level Of Harm: 4
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/24/2010
date Of Correction: 09/15/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 07/08/2009
date Of Correction: 08/19/2009 
Resident Assessment Deficiencies
Deficiency #1 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: 08/24/2010
date Of Correction: 09/15/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.7 (90.9) %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
75.2 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5.3 %
12.58 %
Percent of long-stay residents who lose too much weight
14.5 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.9 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
96.3 %
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
1.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29.3 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
5 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
0.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6.4 %
9.22 %
Percent of long-stay residents who lose too much weight
10.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
55.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.5 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
2.5 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 10.3:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.1 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.5 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 2.6 / 3 % 

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