Becker Shoop Center - Racine Nursing Home
General Information
UPDATEFederal Provider Number
525669
Provider Name
BECKER SHOOP CENTER
Provider Address
6101 16TH ST
RACINE, WI 53406
RACINE, WI 53406
Provider Phone Number
(262) 637-7486
Provider SSA County
500
Provider County Name
Racine
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
71
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LINCOLN LUTHERAN COMMUNITY CARE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
2003-06-12
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.89906
Reported LPN Staffing Hours per Resident per Day
0.77925
Reported RN Staffing Hours per Resident per Day
0.92642
Reported Licensed Staffing Hours per Resident per Day
1.70566
Reported Total Nurse Staffing Hours per Resident per Day
4.60473
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10094
Expected CNA Staffing Hours per Resident per Day
2.64612
Expected LPN Staffing Hours per Resident per Day
0.60484
Expected RN Staffing Hours per Resident per Day
1.01435
Expected Total Nurse Staffing Hours per Resident per Day
4.26531
Adjusted CNA Staffing Hours per Resident per Day
2.68824
Adjusted LPN Staffing Hours per Resident per Day
1.06934
Adjusted RN Staffing Hours per Resident per Day
0.68243
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35167
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-30
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
7
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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