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NORTHERN LIGHTS HCC

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NORTHERN LIGHTS HCC VS
Nursing Homes USA
General
City WASHBURN   0% Nursing Homes USA have WASHBURN
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 706 BRATLEY DR  
Zip Code 54891  
Phone 7153735621  
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
65 
108.94
Total Number of Residents
64 
91.25
Percent of Occupied Beds
98 %
83.65 %
Health Survey Date 6/2/2011  
Fire Survey Date 6/15/2011  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non 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
7.48
Staff Information
Number of Residents
58 
91.38
Number of RN Hours Per Resident Per Day
0.99 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.28 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.26 
1.59
Number of CNA Hours Per Resident Per Day
0.23 
5.49
Number Therapy Hours Per Resident Per Day
0.23 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 4
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 04/27/2009
date Of Correction: 06/02/2009 
Resident Rights Deficiencies
Deficiency #1 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: 04/27/2009
date Of Correction: 06/02/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 04/27/2009
date Of Correction: 06/11/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health.
survey Date: 04/27/2009
date Of Correction: 06/11/2009 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Assess The Resident When The Resident Enters The Nursing Home, In A Timely Manner.
survey Date: 04/27/2009
date Of Correction: 06/11/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
12.2 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.9 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
23.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 11.8:1 % 
Percent of long-stay residents who lose too much weight
18.8 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.20 %
15.63 %
Percent of long-stay residents with a urinary tract infection
8.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
24.2 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
94 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
88 %
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
8.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.6 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
14.8 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 9.4 / 10.4 % 
Percent of long-stay residents who lose too much weight
11.7 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.6 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
5.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
5.1 %
19.86 %
Percent of long-stay residents who were physically restrained
0.6 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.5 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
20 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
82.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
82.7 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 17.1:1 % 

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