Wisconsin Nursing Homes >> Shawano Nursing Homes >> Atrium Post Acute Care Of Shawano At Evergreen

Atrium Post Acute Care Of Shawano At Evergreen - Shawano Nursing Home

General Information

UPDATE
Federal Provider Number
525343
Provider Name
ATRIUM POST ACUTE CARE OF SHAWANO AT EVERGREEN
Provider Address
1250 EVERGREEN ST
SHAWANO, WI 54166
Provider Phone Number
7155263107
Provider SSA County
570
Provider County Name
Shawano
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1983-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35000
Reported LPN Staffing Hours per Resident per Day
0.48111
Reported RN Staffing Hours per Resident per Day
0.87333
Reported Licensed Staffing Hours per Resident per Day
1.35444
Reported Total Nurse Staffing Hours per Resident per Day
3.70444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01778
Expected CNA Staffing Hours per Resident per Day
2.45374
Expected LPN Staffing Hours per Resident per Day
0.62946
Expected RN Staffing Hours per Resident per Day
1.00656
Expected Total Nurse Staffing Hours per Resident per Day
4.08976
Adjusted CNA Staffing Hours per Resident per Day
2.34996
Adjusted LPN Staffing Hours per Resident per Day
0.63439
Adjusted RN Staffing Hours per Resident per Day
0.64830
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65113
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-03-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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