Alden Meadow Park Hcc - Clinton Nursing Home

General Information

UPDATE
Federal Provider Number
525508
Provider Name
ALDEN MEADOW PARK HCC
Provider Address
709 MEADOW PARK DR, PO BOX 309
CLINTON, WI 53525
Provider Phone Number
6086762202
Provider SSA County
520
Provider County Name
Rock
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN-MEADOW PARK HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
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
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.46230
Reported LPN Staffing Hours per Resident per Day
0.25164
Reported RN Staffing Hours per Resident per Day
0.61721
Reported Licensed Staffing Hours per Resident per Day
0.86885
Reported Total Nurse Staffing Hours per Resident per Day
2.33115
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02377
Expected CNA Staffing Hours per Resident per Day
2.49936
Expected LPN Staffing Hours per Resident per Day
0.61803
Expected RN Staffing Hours per Resident per Day
0.92338
Expected Total Nurse Staffing Hours per Resident per Day
4.04076
Adjusted CNA Staffing Hours per Resident per Day
1.43558
Adjusted LPN Staffing Hours per Resident per Day
0.33795
Adjusted RN Staffing Hours per Resident per Day
0.49945
Adjusted Total Nurse Staffing Hours per Resident per Day
2.32546
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
44
Cycle 1 Standard Survey Health Date
2015-01-22
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
18
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
207
Cycle 2 Standard Health Survey Date
2013-11-21
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
12
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
101.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
45143
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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