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SHOREHAVEN HLTH & REHAB CTR

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SHOREHAVEN HLTH & REHAB CTR VS
Nursing Homes USA
General
City OCONOMOWOC   0% Nursing Homes USA have OCONOMOWOC
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 1305 W WISCONSIN AVE  
Zip Code 53066  
Phone 2625678341  
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
120 
108.94
Total Number of Residents
105 
91.25
Percent of Occupied Beds
88 %
83.65 %
Health Survey Date 6/17/2011  
Fire Survey Date 6/14/2011  
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 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? Yes  9.1% Nursing Homes USA 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
105 
91.38
Number of RN Hours Per Resident Per Day
1.13 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.5 - 2.0 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.63 
1.59
Number of CNA Hours Per Resident Per Day
0.11 
5.49
Number Therapy Hours Per Resident Per Day
0.11 
0.10
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/24/2010
date Of Correction: 07/24/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
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: 06/24/2010
date Of Correction: 07/24/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28.2 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1.4 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
1.1 %
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
3.4 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.9 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.1 %
15.63 %
Percent of long-stay residents with a urinary tract infection
1.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms 8.9 / 9.9 % 
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
15.7 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
81.4 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
86.2 %
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
4.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
25.6 (78.1) %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.8 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
2.5 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
3.1 %
9.22 %
Percent of long-stay residents who lose too much weight
4.4 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
36.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
3.1 %
9.58 %
Percent of long-stay residents who have depressive symptoms
11.1 %
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
4.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 13.9 / 15.3 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
14 %
17.34 %

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