Allis Care Center - West Allis Nursing Home
General Information
UPDATEFederal Provider Number
525108
Provider Name
ALLIS CARE CENTER
Provider Address
9047 W GREENFIELD AVE
WEST ALLIS, WI 53214
WEST ALLIS, WI 53214
Provider Phone Number
(414) 453-9290
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
152
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEXINGTON HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-13
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08271
Reported LPN Staffing Hours per Resident per Day
0.79812
Reported RN Staffing Hours per Resident per Day
0.47820
Reported Licensed Staffing Hours per Resident per Day
1.27632
Reported Total Nurse Staffing Hours per Resident per Day
3.35903
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12632
Expected CNA Staffing Hours per Resident per Day
2.42425
Expected LPN Staffing Hours per Resident per Day
0.65493
Expected RN Staffing Hours per Resident per Day
1.16364
Expected Total Nurse Staffing Hours per Resident per Day
4.24283
Adjusted CNA Staffing Hours per Resident per Day
2.10801
Adjusted LPN Staffing Hours per Resident per Day
1.01146
Adjusted RN Staffing Hours per Resident per Day
0.30706
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19125
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-06
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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