Bridges Of Appleton (the) - Appleton Nursing Home
General Information
UPDATEFederal Provider Number
525484
Provider Name
BRIDGES OF APPLETON (THE)
Provider Address
2915 N MEADE ST
APPLETON, WI 54911
APPLETON, WI 54911
Provider Phone Number
(920) 993-6800
Provider SSA County
430
Provider County Name
Outagamie
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
150
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JB APPLETON HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1992-07-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
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
2.07917
Reported LPN Staffing Hours per Resident per Day
0.42604
Reported RN Staffing Hours per Resident per Day
0.90052
Reported Licensed Staffing Hours per Resident per Day
1.32656
Reported Total Nurse Staffing Hours per Resident per Day
3.40573
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.22296
Expected LPN Staffing Hours per Resident per Day
0.57604
Expected RN Staffing Hours per Resident per Day
0.87852
Expected Total Nurse Staffing Hours per Resident per Day
3.67752
Adjusted CNA Staffing Hours per Resident per Day
2.29498
Adjusted LPN Staffing Hours per Resident per Day
0.61387
Adjusted RN Staffing Hours per Resident per Day
0.76592
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73299
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2015-03-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
28
Cycle 2 Number of Standard Health Deficiencies
22
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
279
Cycle 2 Standard Health Survey Date
2014-04-29
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
140
Cycle 2 Total Health Score
419
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
317
Cycle 3 Standard Health Survey Date
2013-04-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
317
Total Weighted Health Survey Score
260.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
11
Number of Fines
2
Total Amount of Fines in Dollars
182915
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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