Clearview - Juneau Nursing Home
General Information
UPDATEFederal Provider Number
525453
Provider Name
CLEARVIEW
Provider Address
198 COUNTY DF
JUNEAU, WI 53039
JUNEAU, WI 53039
Provider Phone Number
(920) 386-3400
Provider SSA County
130
Provider County Name
Dodge
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
140
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARSH COUNTRY HEALTH ALLIANCE
Date First Approved to Provide Medicare and Medicaid services
1989-12-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.50000
Reported LPN Staffing Hours per Resident per Day
0.53158
Reported RN Staffing Hours per Resident per Day
0.63308
Reported Licensed Staffing Hours per Resident per Day
1.16466
Reported Total Nurse Staffing Hours per Resident per Day
4.66466
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03647
Expected CNA Staffing Hours per Resident per Day
2.37769
Expected LPN Staffing Hours per Resident per Day
0.61289
Expected RN Staffing Hours per Resident per Day
0.89486
Expected Total Nurse Staffing Hours per Resident per Day
3.88543
Adjusted CNA Staffing Hours per Resident per Day
3.61189
Adjusted LPN Staffing Hours per Resident per Day
0.71989
Adjusted RN Staffing Hours per Resident per Day
0.52862
Adjusted Total Nurse Staffing Hours per Resident per Day
4.83930
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-10
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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