Maplewood Center - West Allis Nursing Home
General Information
UPDATEFederal Provider Number
525069
Provider Name
MAPLEWOOD CENTER
Provider Address
8615 W BELOIT RD
WEST ALLIS, WI 53227
WEST ALLIS, WI 53227
Provider Phone Number
4146074100
Provider SSA County
390
Provider County Name
Milwaukee
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
METHODIST MANOR HEALTH CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1969-10-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.41192
Reported LPN Staffing Hours per Resident per Day
0.90000
Reported RN Staffing Hours per Resident per Day
1.22000
Reported Licensed Staffing Hours per Resident per Day
2.12000
Reported Total Nurse Staffing Hours per Resident per Day
5.53192
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07038
Expected CNA Staffing Hours per Resident per Day
2.66284
Expected LPN Staffing Hours per Resident per Day
0.74675
Expected RN Staffing Hours per Resident per Day
1.18240
Expected Total Nurse Staffing Hours per Resident per Day
4.59199
Adjusted CNA Staffing Hours per Resident per Day
3.14395
Adjusted LPN Staffing Hours per Resident per Day
1.00034
Adjusted RN Staffing Hours per Resident per Day
0.77096
Adjusted Total Nurse Staffing Hours per Resident per Day
4.85599
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-09-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-10
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
5
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-06-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
780
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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Milwaukee County Mhc Rehab Cen
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