Wisconsin Nursing Homes >> Racine Nursing Homes >> Villa At Lincoln Park (the)

Villa At Lincoln Park (the) - Racine Nursing Home

General Information

UPDATE
Federal Provider Number
525061
Provider Name
VILLA AT LINCOLN PARK (THE)
Provider Address
1700 C A BECKER DR
RACINE, WI 53406
Provider Phone Number
2626379751
Provider SSA County
500
Provider County Name
Racine
Ownership Type
Non profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LINCOLN LUTHERAN HOME OF RACINE INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.11582
Reported LPN Staffing Hours per Resident per Day
0.28228
Reported RN Staffing Hours per Resident per Day
0.97658
Reported Licensed Staffing Hours per Resident per Day
1.25886
Reported Total Nurse Staffing Hours per Resident per Day
3.37468
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05443
Expected CNA Staffing Hours per Resident per Day
2.49863
Expected LPN Staffing Hours per Resident per Day
0.61326
Expected RN Staffing Hours per Resident per Day
0.96265
Expected Total Nurse Staffing Hours per Resident per Day
4.07454
Adjusted CNA Staffing Hours per Resident per Day
2.07777
Adjusted LPN Staffing Hours per Resident per Day
0.38204
Adjusted RN Staffing Hours per Resident per Day
0.75801
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33853
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-02-06
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
14
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
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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