Wisconsin Nursing Homes >> Baldwin Nursing Homes >> Baldwin Care Center

Baldwin Care Center - Baldwin Nursing Home

General Information

UPDATE
Federal Provider Number
525502
Provider Name
BALDWIN CARE CENTER
Provider Address
650 BIRCH ST
BALDWIN, WI 54002
Provider Phone Number
7156843231
Provider SSA County
540
Provider County Name
St. Croix
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
50
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
1993-01-01
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
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
2.78900
Reported LPN Staffing Hours per Resident per Day
0.51300
Reported RN Staffing Hours per Resident per Day
1.02700
Reported Licensed Staffing Hours per Resident per Day
1.54000
Reported Total Nurse Staffing Hours per Resident per Day
4.32900
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10900
Expected CNA Staffing Hours per Resident per Day
2.15414
Expected LPN Staffing Hours per Resident per Day
0.56357
Expected RN Staffing Hours per Resident per Day
0.88487
Expected Total Nurse Staffing Hours per Resident per Day
3.60258
Adjusted CNA Staffing Hours per Resident per Day
3.17684
Adjusted LPN Staffing Hours per Resident per Day
0.75552
Adjusted RN Staffing Hours per Resident per Day
0.86721
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84368
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-29
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2013-01-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
2
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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