Atrium Post Acute Care Of Kewaunee - Kewaunee Nursing Home
General Information
UPDATEFederal Provider Number
525357
Provider Name
ATRIUM POST ACUTE CARE OF KEWAUNEE
Provider Address
1308 LINCOLN ST
KEWAUNEE, WI 54216
KEWAUNEE, WI 54216
Provider Phone Number
(920) 388-4111
Provider SSA County
300
Provider County Name
Kewaunee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KEWAUNEE CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1984-04-01
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.06705
Reported LPN Staffing Hours per Resident per Day
0.98409
Reported RN Staffing Hours per Resident per Day
0.55114
Reported Licensed Staffing Hours per Resident per Day
1.53523
Reported Total Nurse Staffing Hours per Resident per Day
3.60228
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02955
Expected CNA Staffing Hours per Resident per Day
2.50436
Expected LPN Staffing Hours per Resident per Day
0.66568
Expected RN Staffing Hours per Resident per Day
1.01191
Expected Total Nurse Staffing Hours per Resident per Day
4.18195
Adjusted CNA Staffing Hours per Resident per Day
2.02524
Adjusted LPN Staffing Hours per Resident per Day
1.22700
Adjusted RN Staffing Hours per Resident per Day
0.40696
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47216
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
20
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
56
Cycle 3 Standard Health Survey Date
2012-09-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
1
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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