Atrium Post Acute Care Of Ellsworth - Ellsworth Nursing Home

General Information

UPDATE
Federal Provider Number
525483
Provider Name
ATRIUM POST ACUTE CARE OF ELLSWORTH
Provider Address
403 N MAPLE ST
ELLSWORTH, WI 54011
Provider Phone Number
7152735821
Provider SSA County
460
Provider County Name
Pierce
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELLSWORTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.18776
Reported LPN Staffing Hours per Resident per Day
0.49592
Reported RN Staffing Hours per Resident per Day
0.63469
Reported Licensed Staffing Hours per Resident per Day
1.13061
Reported Total Nurse Staffing Hours per Resident per Day
3.31837
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07755
Expected CNA Staffing Hours per Resident per Day
2.32661
Expected LPN Staffing Hours per Resident per Day
0.59858
Expected RN Staffing Hours per Resident per Day
0.89217
Expected Total Nurse Staffing Hours per Resident per Day
3.81736
Adjusted CNA Staffing Hours per Resident per Day
2.30726
Adjusted LPN Staffing Hours per Resident per Day
0.68765
Adjusted RN Staffing Hours per Resident per Day
0.53156
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50400
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-15
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
43.33300
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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