Christian Community Home - Hudson Nursing Home
General Information
UPDATEFederal Provider Number
525626
Provider Name
CHRISTIAN COMMUNITY HOME
Provider Address
1320 WISCONSIN ST
HUDSON, WI 54016
HUDSON, WI 54016
Provider Phone Number
7153869303
Provider SSA County
540
Provider County Name
St. Croix
Ownership Type
Non profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHRISTIAN COMMUNITY HOME OF HUDSON, INC
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.79683
Reported LPN Staffing Hours per Resident per Day
0.21349
Reported RN Staffing Hours per Resident per Day
1.19762
Reported Licensed Staffing Hours per Resident per Day
1.41111
Reported Total Nurse Staffing Hours per Resident per Day
4.20794
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19048
Expected CNA Staffing Hours per Resident per Day
2.49236
Expected LPN Staffing Hours per Resident per Day
0.63404
Expected RN Staffing Hours per Resident per Day
0.94986
Expected Total Nurse Staffing Hours per Resident per Day
4.07626
Adjusted CNA Staffing Hours per Resident per Day
2.75345
Adjusted LPN Staffing Hours per Resident per Day
0.27947
Adjusted RN Staffing Hours per Resident per Day
0.94210
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16112
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-20
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
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NEW RICHMOND WI 54017 | 13.5 miles away
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NEW RICHMOND WI 54017 | 14.2 miles away
American Heritage Care Ctr
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Baldwin Care Center
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Park View Home
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Glenhaven
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