Wisconsin Nursing Homes >> Green Bay Nursing Homes >> Brown Cty Comm Treatment Ctr-bayshore Village

Brown Cty Comm Treatment Ctr-bayshore Village - Green Bay Nursing Home

General Information

UPDATE
Federal Provider Number
525693
Provider Name
BROWN CTY COMM TREATMENT CTR-BAYSHORE VILLAGE
Provider Address
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311
Provider Phone Number
(920) 391-4700
Provider SSA County
40
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
63
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF BROWN
Date First Approved to Provide Medicare and Medicaid services
2007-12-29
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
3.37213
Reported LPN Staffing Hours per Resident per Day
0.73525
Reported RN Staffing Hours per Resident per Day
0.69098
Reported Licensed Staffing Hours per Resident per Day
1.42623
Reported Total Nurse Staffing Hours per Resident per Day
4.79836
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.19242
Expected LPN Staffing Hours per Resident per Day
0.53253
Expected RN Staffing Hours per Resident per Day
0.69396
Expected Total Nurse Staffing Hours per Resident per Day
3.41891
Adjusted CNA Staffing Hours per Resident per Day
3.77400
Adjusted LPN Staffing Hours per Resident per Day
1.14597
Adjusted RN Staffing Hours per Resident per Day
0.74399
Adjusted Total Nurse Staffing Hours per Resident per Day
5.65728
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-04-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-05-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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