Atrium Post Acute Care Of Chilton - Chilton Nursing Home
General Information
UPDATEFederal Provider Number
525336
Provider Name
ATRIUM POST ACUTE CARE OF CHILTON
Provider Address
810 MEMORIAL DR
CHILTON, WI 53014
CHILTON, WI 53014
Provider Phone Number
(920) 849-2308
Provider SSA County
70
Provider County Name
Calumet
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHILTON CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1983-08-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
3.25000
Reported LPN Staffing Hours per Resident per Day
0.64400
Reported RN Staffing Hours per Resident per Day
0.57100
Reported Licensed Staffing Hours per Resident per Day
1.21500
Reported Total Nurse Staffing Hours per Resident per Day
4.46500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05300
Expected CNA Staffing Hours per Resident per Day
2.48424
Expected LPN Staffing Hours per Resident per Day
0.68252
Expected RN Staffing Hours per Resident per Day
1.12744
Expected Total Nurse Staffing Hours per Resident per Day
4.29419
Adjusted CNA Staffing Hours per Resident per Day
3.21005
Adjusted LPN Staffing Hours per Resident per Day
0.78316
Adjusted RN Staffing Hours per Resident per Day
0.37843
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19123
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-29
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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