Atrium Post Acute Care Of Shawano At Maple Lane - Shawano Nursing Home
General Information
UPDATEFederal Provider Number
525689
Provider Name
ATRIUM POST ACUTE CARE OF SHAWANO AT MAPLE LANE
Provider Address
N4231 STATE HWY 22
SHAWANO, WI 54166
SHAWANO, WI 54166
Provider Phone Number
7155263158
Provider SSA County
570
Provider County Name
Shawano
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAPLE LANE HEALTH & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2007-02-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.60093
Reported LPN Staffing Hours per Resident per Day
0.44444
Reported RN Staffing Hours per Resident per Day
0.89630
Reported Licensed Staffing Hours per Resident per Day
1.34074
Reported Total Nurse Staffing Hours per Resident per Day
3.94167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01481
Expected CNA Staffing Hours per Resident per Day
2.72456
Expected LPN Staffing Hours per Resident per Day
0.67472
Expected RN Staffing Hours per Resident per Day
1.08131
Expected Total Nurse Staffing Hours per Resident per Day
4.48059
Adjusted CNA Staffing Hours per Resident per Day
2.34236
Adjusted LPN Staffing Hours per Resident per Day
0.54672
Adjusted RN Staffing Hours per Resident per Day
0.61936
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54607
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
24
Cycle 2 Standard Health Survey Date
2013-05-06
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
18.66700
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
Nursiong Homes Nearby
Manorcare Health Services-shawano
1436 S Lincoln St |
SHAWANO WI 54166 | 0.5 mile away
Atrium Post Acute Care Of Shawano At Evergreen
1250 Evergreen St |
SHAWANO WI 54166 | 0.8 mile away
Atrium Post Acute Care Of Shawano At Birch Hill
1475 Birch Hill Lane |
SHAWANO WI 54166 | 1.1 miles away
Homme Home For The Aging
604 S Webb St |
WITTENBERG WI 54499 | 27.7 miles away
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