Wisconsin Nursing Homes >> Shawano Nursing Homes >> Manorcare Health Services-shawano

Manorcare Health Services-shawano - Shawano Nursing Home

General Information

UPDATE
Federal Provider Number
525335
Provider Name
MANORCARE HEALTH SERVICES-SHAWANO
Provider Address
1436 S LINCOLN ST
SHAWANO, WI 54166
Provider Phone Number
7155266111
Provider SSA County
570
Provider County Name
Shawano
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF SHAWANO WI LLC
Date First Approved to Provide Medicare and Medicaid services
1983-03-29
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.06100
Reported LPN Staffing Hours per Resident per Day
0.68000
Reported RN Staffing Hours per Resident per Day
0.96100
Reported Licensed Staffing Hours per Resident per Day
1.64100
Reported Total Nurse Staffing Hours per Resident per Day
3.70200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13100
Expected CNA Staffing Hours per Resident per Day
2.59018
Expected LPN Staffing Hours per Resident per Day
0.69666
Expected RN Staffing Hours per Resident per Day
1.09450
Expected Total Nurse Staffing Hours per Resident per Day
4.38134
Adjusted CNA Staffing Hours per Resident per Day
1.95240
Adjusted LPN Staffing Hours per Resident per Day
0.81015
Adjusted RN Staffing Hours per Resident per Day
0.65606
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40590
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-03
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
10
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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