Bethany St Joseph Care Ctr - La Crosse Nursing Home
General Information
UPDATEFederal Provider Number
525265
Provider Name
BETHANY ST JOSEPH CARE CTR
Provider Address
2501 SHELBY RD
LA CROSSE, WI 54601
LA CROSSE, WI 54601
Provider Phone Number
(608) 788-5700
Provider SSA County
310
Provider County Name
La Crosse
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY ST. JOSEPH CORP
Date First Approved to Provide Medicare and Medicaid services
1977-01-17
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.87218
Reported LPN Staffing Hours per Resident per Day
0.33145
Reported RN Staffing Hours per Resident per Day
1.11452
Reported Licensed Staffing Hours per Resident per Day
1.44597
Reported Total Nurse Staffing Hours per Resident per Day
4.31815
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05363
Expected CNA Staffing Hours per Resident per Day
2.61948
Expected LPN Staffing Hours per Resident per Day
0.61081
Expected RN Staffing Hours per Resident per Day
0.97297
Expected Total Nurse Staffing Hours per Resident per Day
4.20325
Adjusted CNA Staffing Hours per Resident per Day
2.69041
Adjusted LPN Staffing Hours per Resident per Day
0.45039
Adjusted RN Staffing Hours per Resident per Day
0.85590
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14109
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
40
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
44.00000
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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