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STRAWBERRY LANE MEDICAL AND REHAB

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STRAWBERRY LANE MEDICAL AND REHAB VS
Nursing Homes USA
General
City WISCONSIN RAPIDS   0% Nursing Homes USA have WISCONSIN RAPIDS
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 130 STRAWBERRY LN  
Zip Code 54494  
Phone 7154241600  
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
80 
91.25
Percent of Occupied Beds
67 %
83.65 %
Health Survey Date 2/14/2012  
Fire Survey Date 2/8/2012  
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? Yes  54.9% Nursing Homes USA 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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
28 
7.48
Staff Information
Number of Residents
80 
91.38
Number of RN Hours Per Resident Per Day
0.89 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.29 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.18 
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: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 06/21/2010
date Of Correction: 07/16/2010 
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: 05/20/2010
date Of Correction: 06/11/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 07/08/2009
date Of Correction: 07/20/2009 
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: 02/14/2012
date Of Correction: 03/12/2012 
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: 02/14/2012
date Of Correction: 03/12/2012 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/21/2011
date Of Correction: 10/14/2011 
Deficiency #4 Scope: Some
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: 09/21/2011
date Of Correction: 10/14/2011 
Deficiency #5 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: 09/21/2011
date Of Correction: 10/14/2011 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/30/2011
date Of Correction: 04/15/2011 
Deficiency #7 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: 03/30/2011
date Of Correction: 04/15/2011 
Deficiency #8 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: 12/16/2010
date Of Correction: 01/03/2011 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/09/2010
date Of Correction: 03/27/2010 
Deficiency #10 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: 03/09/2010
date Of Correction: 03/27/2010 
Deficiency #11 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 11/30/2009
date Of Correction: 12/16/2009 
Deficiency #12 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: 11/30/2009
date Of Correction: 12/16/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.
survey Date: 02/14/2012
date Of Correction: 03/12/2012 
Deficiency #2 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: 05/20/2010
date Of Correction: 06/11/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 02/14/2012
date Of Correction: 03/12/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 09/10/2010
date Of Correction: 09/24/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/08/2009
date Of Correction: 07/20/2009 
Deficiency #4 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: 07/08/2009
date Of Correction: 07/20/2009 
Deficiency #5 Scope: Few
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: 07/20/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.
survey Date: 02/14/2012
date Of Correction: 03/12/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 02/14/2012
date Of Correction: 03/12/2012 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.
survey Date: 05/20/2010
date Of Correction: 06/11/2010 
Deficiency #4 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: 07/08/2009
date Of Correction: 07/20/2009 
Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.
survey Date: 02/14/2012
date Of Correction: 03/12/2012 
Deficiency #2 Scope: Many
level Of Harm: 1
deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.
survey Date: 09/21/2011
date Of Correction: 10/14/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
19 %
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
11.9 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 8.6:1 % 
Percent of long-stay residents who lose too much weight
3.3 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 5.6:1 % 
Percent of long-stay residents with a urinary tract infection
11.1 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.7 %
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
32.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
82.4 %
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
7.6 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
5.1 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5.9 %
9.22 %
Percent of long-stay residents who lose too much weight
8.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
18.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.8 %
10.65 %
Percent of long-stay residents with a urinary tract infection
12 %
9.58 %
Percent of long-stay residents who have depressive symptoms
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
6.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
28.2 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
76.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
81.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
26.6 (79.9) %
17.34 %

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