Clairemont Nursing And Rehab - Eau Claire Nursing Home
General Information
UPDATEFederal Provider Number
525364
Provider Name
CLAIREMONT NURSING AND REHAB
Provider Address
2120 HEIGHTS DR
EAU CLAIRE, WI 54701
EAU CLAIRE, WI 54701
Provider Phone Number
(715) 832-1681
Provider SSA County
170
Provider County Name
Eau Claire
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
161
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN EAGLE NURSING HOME COMPANY OF EAU CLAIRE LLC
Date First Approved to Provide Medicare and Medicaid services
1984-03-01
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
2
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
2.52568
Reported LPN Staffing Hours per Resident per Day
0.48964
Reported RN Staffing Hours per Resident per Day
1.26396
Reported Licensed Staffing Hours per Resident per Day
1.75360
Reported Total Nurse Staffing Hours per Resident per Day
4.27928
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09640
Expected CNA Staffing Hours per Resident per Day
2.27577
Expected LPN Staffing Hours per Resident per Day
0.65699
Expected RN Staffing Hours per Resident per Day
1.29735
Expected Total Nurse Staffing Hours per Resident per Day
4.23010
Adjusted CNA Staffing Hours per Resident per Day
2.72315
Adjusted LPN Staffing Hours per Resident per Day
0.61858
Adjusted RN Staffing Hours per Resident per Day
0.72797
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07776
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
289
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
289
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
206.50000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
10500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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