Avanti Health And Rehabilitation Center, Llc - Minocqua Nursing Home
General Information
UPDATEFederal Provider Number
525678
Provider Name
AVANTI HEALTH AND REHABILITATION CENTER, LLC
Provider Address
9969 OLD HWY 70 RD
MINOCQUA, WI 54548
MINOCQUA, WI 54548
Provider Phone Number
(715) 356-6016
Provider SSA County
420
Provider County Name
Oneida
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVANTI HEALTH AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2004-07-09
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.69688
Reported LPN Staffing Hours per Resident per Day
0.26484
Reported RN Staffing Hours per Resident per Day
1.31563
Reported Licensed Staffing Hours per Resident per Day
1.58047
Reported Total Nurse Staffing Hours per Resident per Day
4.27735
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24531
Expected CNA Staffing Hours per Resident per Day
2.67489
Expected LPN Staffing Hours per Resident per Day
0.68086
Expected RN Staffing Hours per Resident per Day
1.12905
Expected Total Nurse Staffing Hours per Resident per Day
4.48480
Adjusted CNA Staffing Hours per Resident per Day
2.47387
Adjusted LPN Staffing Hours per Resident per Day
0.32285
Adjusted RN Staffing Hours per Resident per Day
0.87068
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84445
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
168
Cycle 1 Standard Survey Health Date
2014-04-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
168
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
36
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
101.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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