Wisconsin Nursing Homes >> Greenfield Nursing Homes >> Clement Manor Health Care Center

Clement Manor Health Care Center - Greenfield Nursing Home

General Information

UPDATE
Federal Provider Number
525327
Provider Name
CLEMENT MANOR HEALTH CARE CENTER
Provider Address
3939 S 92ND ST
GREENFIELD, WI 53228
Provider Phone Number
4143211800
Provider SSA County
390
Provider County Name
Milwaukee
Ownership Type
Non profit - Church related
Number of Certified Beds
154
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLEMENT MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1982-11-03
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.99965
Reported LPN Staffing Hours per Resident per Day
1.01986
Reported RN Staffing Hours per Resident per Day
1.02518
Reported Licensed Staffing Hours per Resident per Day
2.04504
Reported Total Nurse Staffing Hours per Resident per Day
5.04469
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12163
Expected CNA Staffing Hours per Resident per Day
2.55501
Expected LPN Staffing Hours per Resident per Day
0.60656
Expected RN Staffing Hours per Resident per Day
0.98866
Expected Total Nurse Staffing Hours per Resident per Day
4.15024
Adjusted CNA Staffing Hours per Resident per Day
2.88071
Adjusted LPN Staffing Hours per Resident per Day
1.39554
Adjusted RN Staffing Hours per Resident per Day
0.77480
Adjusted Total Nurse Staffing Hours per Resident per Day
4.89963
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-08
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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