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Alexian Village Of Milwaukee - Milwaukee Nursing Home

General Information

UPDATE
Federal Provider Number
525523
Provider Name
ALEXIAN VILLAGE OF MILWAUKEE
Provider Address
9255 N 76TH ST
MILWAUKEE, WI 53223
Provider Phone Number
(414) 355-9300
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
108
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALEXIAN VILLAGE OF MILWAUKEE
Date First Approved to Provide Medicare and Medicaid services
1994-01-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.83297
Reported LPN Staffing Hours per Resident per Day
0.35220
Reported RN Staffing Hours per Resident per Day
1.50000
Reported Licensed Staffing Hours per Resident per Day
1.85220
Reported Total Nurse Staffing Hours per Resident per Day
4.68517
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11484
Expected CNA Staffing Hours per Resident per Day
2.58678
Expected LPN Staffing Hours per Resident per Day
0.65909
Expected RN Staffing Hours per Resident per Day
1.05925
Expected Total Nurse Staffing Hours per Resident per Day
4.30512
Adjusted CNA Staffing Hours per Resident per Day
2.68723
Adjusted LPN Staffing Hours per Resident per Day
0.44353
Adjusted RN Staffing Hours per Resident per Day
1.05811
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38675
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-11-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-12-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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