Manorcare Health Services-pewaukee - Waukesha Nursing Home

General Information

UPDATE
Federal Provider Number
525646
Provider Name
MANORCARE HEALTH SERVICES-PEWAUKEE
Provider Address
N26 W23977 WATERTOWN RD
WAUKESHA, WI 53188
Provider Phone Number
2625230933
Provider SSA County
660
Provider County Name
Waukesha
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND-PEWAUKE OF WAUKESHA WI LLC
Date First Approved to Provide Medicare and Medicaid services
1998-07-28
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.41782
Reported LPN Staffing Hours per Resident per Day
0.66881
Reported RN Staffing Hours per Resident per Day
0.98564
Reported Licensed Staffing Hours per Resident per Day
1.65446
Reported Total Nurse Staffing Hours per Resident per Day
4.07227
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09406
Expected CNA Staffing Hours per Resident per Day
2.60576
Expected LPN Staffing Hours per Resident per Day
0.64796
Expected RN Staffing Hours per Resident per Day
1.10649
Expected Total Nurse Staffing Hours per Resident per Day
4.36020
Adjusted CNA Staffing Hours per Resident per Day
2.27673
Adjusted LPN Staffing Hours per Resident per Day
0.85671
Adjusted RN Staffing Hours per Resident per Day
0.66559
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76471
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-04-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-01-09
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
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
10
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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