Bridgewood Nursing And Rehab Center - Neenah Nursing Home
General Information
UPDATEFederal Provider Number
525481
Provider Name
BRIDGEWOOD NURSING AND REHAB CENTER
Provider Address
125 BYRD AVE
NEENAH, WI 54956
NEENAH, WI 54956
Provider Phone Number
(920) 725-2714
Provider SSA County
690
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRIDGEWOOD NURSING AND REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1991-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.29878
Reported LPN Staffing Hours per Resident per Day
0.24878
Reported RN Staffing Hours per Resident per Day
1.26280
Reported Licensed Staffing Hours per Resident per Day
1.51159
Reported Total Nurse Staffing Hours per Resident per Day
3.81036
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06159
Expected CNA Staffing Hours per Resident per Day
2.16534
Expected LPN Staffing Hours per Resident per Day
0.71106
Expected RN Staffing Hours per Resident per Day
1.57913
Expected Total Nurse Staffing Hours per Resident per Day
4.45554
Adjusted CNA Staffing Hours per Resident per Day
2.60491
Adjusted LPN Staffing Hours per Resident per Day
0.29039
Adjusted RN Staffing Hours per Resident per Day
0.59752
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44721
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-11-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
82.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
9250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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