American Lutheran Home-menomonie - Menomonie Nursing Home
General Information
UPDATEFederal Provider Number
525480
Provider Name
AMERICAN LUTHERAN HOME-MENOMONIE
Provider Address
915 ELM AVE
MENOMONIE, WI 54751
MENOMONIE, WI 54751
Provider Phone Number
7152359041
Provider SSA County
160
Provider County Name
Dunn
Ownership Type
Non profit - Church related
Number of Certified Beds
50
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN LUTHERAN HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.38784
Reported LPN Staffing Hours per Resident per Day
0.10676
Reported RN Staffing Hours per Resident per Day
1.29054
Reported Licensed Staffing Hours per Resident per Day
1.39730
Reported Total Nurse Staffing Hours per Resident per Day
3.78514
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02838
Expected CNA Staffing Hours per Resident per Day
2.54684
Expected LPN Staffing Hours per Resident per Day
0.71669
Expected RN Staffing Hours per Resident per Day
1.20885
Expected Total Nurse Staffing Hours per Resident per Day
4.47238
Adjusted CNA Staffing Hours per Resident per Day
2.30052
Adjusted LPN Staffing Hours per Resident per Day
0.12364
Adjusted RN Staffing Hours per Resident per Day
0.79769
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41150
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
742
Cycle 2 Standard Health Survey Date
2013-08-12
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
255.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
31688
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Neighbors - Central Neighborhood (the)
2901 Forbes Ave |
MENOMONIE WI 54751 | 1.8 miles away
Neighbors - East Neighborhood (the)
658 Howison Circle |
MENOMONIE WI 54751 | 1.8 miles away
Neighbors - West Neighborhood (the)
651 Howison Circle |
MENOMONIE WI 54751 | 1.8 miles away
Colfax Health And Rehabilitation Center
110 Park Drive |
COLFAX WI 54730 | 12.4 miles away
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