Wisconsin Nursing Homes >> Boscobel Nursing Homes >> Boscobel Care And Rehab

Boscobel Care And Rehab - Boscobel Nursing Home

General Information

UPDATE
Federal Provider Number
525373
Provider Name
BOSCOBEL CARE AND REHAB
Provider Address
207 PARKER ST
BOSCOBEL, WI 53805
Provider Phone Number
6083756342
Provider SSA County
210
Provider County Name
Grant
Ownership Type
For profit - Individual
Number of Certified Beds
50
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENIOR MANAGEMENT INC
Date First Approved to Provide Medicare and Medicaid services
1984-11-02
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
4
Health Inspection Rating Footnote
QM Rating
3
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
2.50000
Reported LPN Staffing Hours per Resident per Day
0.64694
Reported RN Staffing Hours per Resident per Day
0.80000
Reported Licensed Staffing Hours per Resident per Day
1.44694
Reported Total Nurse Staffing Hours per Resident per Day
3.94694
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09898
Expected CNA Staffing Hours per Resident per Day
2.36932
Expected LPN Staffing Hours per Resident per Day
0.61749
Expected RN Staffing Hours per Resident per Day
0.98923
Expected Total Nurse Staffing Hours per Resident per Day
3.97605
Adjusted CNA Staffing Hours per Resident per Day
2.58903
Adjusted LPN Staffing Hours per Resident per Day
0.86958
Adjusted RN Staffing Hours per Resident per Day
0.60427
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00139
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-05-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
13.33300
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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