Bethany Riverside - La Crosse Nursing Home
General Information
UPDATEFederal Provider Number
525455
Provider Name
BETHANY RIVERSIDE
Provider Address
2575 S 7TH ST
LA CROSSE, WI 54601
LA CROSSE, WI 54601
Provider Phone Number
(608) 406-3900
Provider SSA County
310
Provider County Name
La Crosse
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
123
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY LUTHERAN HOMES, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.57246
Reported LPN Staffing Hours per Resident per Day
0.54534
Reported RN Staffing Hours per Resident per Day
0.98347
Reported Licensed Staffing Hours per Resident per Day
1.52881
Reported Total Nurse Staffing Hours per Resident per Day
4.10127
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04788
Expected CNA Staffing Hours per Resident per Day
2.60094
Expected LPN Staffing Hours per Resident per Day
0.59176
Expected RN Staffing Hours per Resident per Day
0.93118
Expected Total Nurse Staffing Hours per Resident per Day
4.12387
Adjusted CNA Staffing Hours per Resident per Day
2.42683
Adjusted LPN Staffing Hours per Resident per Day
0.76490
Adjusted RN Staffing Hours per Resident per Day
0.78916
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00881
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-06-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
0
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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