Atrium Post Acute Care Of Shawano At Birch Hill - Shawano Nursing Home

General Information

UPDATE
Federal Provider Number
525412
Provider Name
ATRIUM POST ACUTE CARE OF SHAWANO AT BIRCH HILL
Provider Address
1475 BIRCH HILL LANE
SHAWANO, WI 54166
Provider Phone Number
(715) 526-3161
Provider SSA County
570
Provider County Name
Shawano
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1988-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36591
Reported LPN Staffing Hours per Resident per Day
0.80568
Reported RN Staffing Hours per Resident per Day
0.39318
Reported Licensed Staffing Hours per Resident per Day
1.19886
Reported Total Nurse Staffing Hours per Resident per Day
3.56477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02386
Expected CNA Staffing Hours per Resident per Day
2.43142
Expected LPN Staffing Hours per Resident per Day
0.64720
Expected RN Staffing Hours per Resident per Day
1.05099
Expected Total Nurse Staffing Hours per Resident per Day
4.12961
Adjusted CNA Staffing Hours per Resident per Day
2.38759
Adjusted LPN Staffing Hours per Resident per Day
1.03324
Adjusted RN Staffing Hours per Resident per Day
0.27953
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47956
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
26.66700
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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