Birchwood Healthcare And Rehab Center - Milwaukee Nursing Home

General Information

UPDATE
Federal Provider Number
525705
Provider Name
BIRCHWOOD HEALTHCARE AND REHAB CENTER
Provider Address
9632 W APPLETON AVE
MILWAUKEE, WI 53225
Provider Phone Number
4144618850
Provider SSA County
390
Provider County Name
Milwaukee
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILWAUKEE HEALTHCARE OPERATOR, LLC
Date First Approved to Provide Medicare and Medicaid services
2010-12-10
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.79573
Reported LPN Staffing Hours per Resident per Day
0.73547
Reported RN Staffing Hours per Resident per Day
0.97863
Reported Licensed Staffing Hours per Resident per Day
1.71410
Reported Total Nurse Staffing Hours per Resident per Day
3.50983
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04017
Expected CNA Staffing Hours per Resident per Day
2.47415
Expected LPN Staffing Hours per Resident per Day
0.74939
Expected RN Staffing Hours per Resident per Day
1.27135
Expected Total Nurse Staffing Hours per Resident per Day
4.49488
Adjusted CNA Staffing Hours per Resident per Day
1.78089
Adjusted LPN Staffing Hours per Resident per Day
0.81458
Adjusted RN Staffing Hours per Resident per Day
0.57516
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14753
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
23
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-07-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
23
Cycle 2 Health Deficiency Score
227
Cycle 2 Standard Health Survey Date
2013-08-13
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
114
Cycle 2 Total Health Score
114
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
183.00000
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
41
Number of Fines
2
Total Amount of Fines in Dollars
14333
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01

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