Algoma Medical Center - Algoma Nursing Home
General Information
UPDATEFederal Provider Number
525533
Provider Name
ALGOMA MEDICAL CENTER
Provider Address
1510 FREMONT ST
ALGOMA, WI 54201
ALGOMA, WI 54201
Provider Phone Number
(920) 487-5511
Provider SSA County
300
Provider County Name
Kewaunee
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
60
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALGOMA MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.64746
Reported LPN Staffing Hours per Resident per Day
0.88898
Reported RN Staffing Hours per Resident per Day
0.60763
Reported Licensed Staffing Hours per Resident per Day
1.49661
Reported Total Nurse Staffing Hours per Resident per Day
4.14407
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03051
Expected CNA Staffing Hours per Resident per Day
2.62726
Expected LPN Staffing Hours per Resident per Day
0.61099
Expected RN Staffing Hours per Resident per Day
0.90688
Expected Total Nurse Staffing Hours per Resident per Day
4.14513
Adjusted CNA Staffing Hours per Resident per Day
2.47256
Adjusted LPN Staffing Hours per Resident per Day
1.20764
Adjusted RN Staffing Hours per Resident per Day
0.50064
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02987
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-28
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
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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