Atrium Post Acute Care Of Plymouth - Plymouth Nursing Home
General Information
UPDATEFederal Provider Number
525685
Provider Name
ATRIUM POST ACUTE CARE OF PLYMOUTH
Provider Address
916 E CLIFFORD ST
PLYMOUTH, WI 53073
PLYMOUTH, WI 53073
Provider Phone Number
(920) 893-4777
Provider SSA County
580
Provider County Name
Sheboygan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLYMOUTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2006-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.77429
Reported LPN Staffing Hours per Resident per Day
0.45857
Reported RN Staffing Hours per Resident per Day
0.86143
Reported Licensed Staffing Hours per Resident per Day
1.32000
Reported Total Nurse Staffing Hours per Resident per Day
4.09429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.57463
Expected LPN Staffing Hours per Resident per Day
0.68678
Expected RN Staffing Hours per Resident per Day
1.07060
Expected Total Nurse Staffing Hours per Resident per Day
4.33201
Adjusted CNA Staffing Hours per Resident per Day
2.64398
Adjusted LPN Staffing Hours per Resident per Day
0.55420
Adjusted RN Staffing Hours per Resident per Day
0.60122
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80971
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
22.66700
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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