Badger Prairie Hcc - Verona Nursing Home

General Information

UPDATE
Federal Provider Number
525516
Provider Name
BADGER PRAIRIE HCC
Provider Address
1100 E VERONA AVE
VERONA, WI 53593
Provider Phone Number
6088456601
Provider SSA County
120
Provider County Name
Dane
Ownership Type
Government - County
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF DANE
Date First Approved to Provide Medicare and Medicaid services
1993-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.28793
Reported LPN Staffing Hours per Resident per Day
0.49957
Reported RN Staffing Hours per Resident per Day
1.08362
Reported Licensed Staffing Hours per Resident per Day
1.58319
Reported Total Nurse Staffing Hours per Resident per Day
5.87112
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03879
Expected CNA Staffing Hours per Resident per Day
2.41054
Expected LPN Staffing Hours per Resident per Day
0.59289
Expected RN Staffing Hours per Resident per Day
0.78593
Expected Total Nurse Staffing Hours per Resident per Day
3.78937
Adjusted CNA Staffing Hours per Resident per Day
4.36470
Adjusted LPN Staffing Hours per Resident per Day
0.69935
Adjusted RN Staffing Hours per Resident per Day
1.03022
Adjusted Total Nurse Staffing Hours per Resident per Day
6.24534
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-08-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-06-06
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
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-05-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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