Wisconsin Nursing Homes >> Cedarburg Nursing Homes >> Cedar Springs Hlth Rehab Ctr

Cedar Springs Hlth Rehab Ctr - Cedarburg Nursing Home

General Information

UPDATE
Federal Provider Number
525578
Provider Name
CEDAR SPRINGS HLTH REHAB CTR
Provider Address
N27 W5707 LINCOLN BLVD
CEDARBURG, WI 53012
Provider Phone Number
2623767676
Provider SSA County
440
Provider County Name
Ozaukee
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1995-07-27
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.37377
Reported LPN Staffing Hours per Resident per Day
0.28115
Reported RN Staffing Hours per Resident per Day
1.52787
Reported Licensed Staffing Hours per Resident per Day
1.80902
Reported Total Nurse Staffing Hours per Resident per Day
4.18279
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18607
Expected CNA Staffing Hours per Resident per Day
2.42030
Expected LPN Staffing Hours per Resident per Day
0.68034
Expected RN Staffing Hours per Resident per Day
1.28714
Expected Total Nurse Staffing Hours per Resident per Day
4.38779
Adjusted CNA Staffing Hours per Resident per Day
2.40652
Adjusted LPN Staffing Hours per Resident per Day
0.34300
Adjusted RN Staffing Hours per Resident per Day
0.88695
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84258
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-14
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
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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