Cedar Crest Health Center - Janesville Nursing Home
General Information
UPDATEFederal Provider Number
525649
Provider Name
CEDAR CREST HEALTH CENTER
Provider Address
1702 S RIVER RD
JANESVILLE, WI 53546
JANESVILLE, WI 53546
Provider Phone Number
(608) 756-0344
Provider SSA County
520
Provider County Name
Rock
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
95
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CEDAR CREST, INC.
Date First Approved to Provide Medicare and Medicaid services
1999-01-20
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
5
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
3.42875
Reported LPN Staffing Hours per Resident per Day
0.40563
Reported RN Staffing Hours per Resident per Day
1.34438
Reported Licensed Staffing Hours per Resident per Day
1.75000
Reported Total Nurse Staffing Hours per Resident per Day
5.17876
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.64513
Expected LPN Staffing Hours per Resident per Day
0.65623
Expected RN Staffing Hours per Resident per Day
1.03096
Expected Total Nurse Staffing Hours per Resident per Day
4.33233
Adjusted CNA Staffing Hours per Resident per Day
3.18061
Adjusted LPN Staffing Hours per Resident per Day
0.51304
Adjusted RN Staffing Hours per Resident per Day
0.97435
Adjusted Total Nurse Staffing Hours per Resident per Day
4.81844
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
6435
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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