Attic Angel Place Health Center - Middleton Nursing Home
General Information
UPDATEFederal Provider Number
525644
Provider Name
ATTIC ANGEL PLACE HEALTH CENTER
Provider Address
8301 OLD SAUK RD
MIDDLETON, WI 53562
MIDDLETON, WI 53562
Provider Phone Number
(608) 662-8842
Provider SSA County
120
Provider County Name
Dane
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
34
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ATTIC ANGEL ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1998-10-01
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.75294
Reported LPN Staffing Hours per Resident per Day
0.12206
Reported RN Staffing Hours per Resident per Day
1.55735
Reported Licensed Staffing Hours per Resident per Day
1.67941
Reported Total Nurse Staffing Hours per Resident per Day
5.43235
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18088
Expected CNA Staffing Hours per Resident per Day
2.57540
Expected LPN Staffing Hours per Resident per Day
0.60584
Expected RN Staffing Hours per Resident per Day
1.03804
Expected Total Nurse Staffing Hours per Resident per Day
4.21928
Adjusted CNA Staffing Hours per Resident per Day
3.57559
Adjusted LPN Staffing Hours per Resident per Day
0.16722
Adjusted RN Staffing Hours per Resident per Day
1.12100
Adjusted Total Nurse Staffing Hours per Resident per Day
5.18981
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-05
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
14
Cycle 1 Total Health Score
42
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
34.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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