Atrium Post Acute Care Of Williams Bay - Williams Bay Nursing Home
General Information
UPDATEFederal Provider Number
525346
Provider Name
ATRIUM POST ACUTE CARE OF WILLIAMS BAY
Provider Address
146 CLOVER ST
WILLIAMS BAY, WI 53191
WILLIAMS BAY, WI 53191
Provider Phone Number
(262) 245-6400
Provider SSA County
630
Provider County Name
Walworth
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
62
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLIAMS BAY CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
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
2
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
2.01909
Reported LPN Staffing Hours per Resident per Day
0.37273
Reported RN Staffing Hours per Resident per Day
0.75091
Reported Licensed Staffing Hours per Resident per Day
1.12364
Reported Total Nurse Staffing Hours per Resident per Day
3.14273
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14636
Expected CNA Staffing Hours per Resident per Day
2.36685
Expected LPN Staffing Hours per Resident per Day
0.65666
Expected RN Staffing Hours per Resident per Day
1.20184
Expected Total Nurse Staffing Hours per Resident per Day
4.22535
Adjusted CNA Staffing Hours per Resident per Day
2.09318
Adjusted LPN Staffing Hours per Resident per Day
0.47112
Adjusted RN Staffing Hours per Resident per Day
0.46685
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99810
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
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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