Colfax Health And Rehabilitation Center - Colfax Nursing Home
General Information
UPDATEFederal Provider Number
525691
Provider Name
COLFAX HEALTH AND REHABILITATION CENTER
Provider Address
110 PARK DRIVE
COLFAX, WI 54730
COLFAX, WI 54730
Provider Phone Number
(715) 962-3186
Provider SSA County
160
Provider County Name
Dunn
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2007-10-01
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
4
Health Inspection Rating Footnote
QM Rating
4
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
2.94306
Reported LPN Staffing Hours per Resident per Day
0.39306
Reported RN Staffing Hours per Resident per Day
1.21806
Reported Licensed Staffing Hours per Resident per Day
1.61111
Reported Total Nurse Staffing Hours per Resident per Day
4.55418
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05417
Expected CNA Staffing Hours per Resident per Day
2.56928
Expected LPN Staffing Hours per Resident per Day
0.58394
Expected RN Staffing Hours per Resident per Day
0.96110
Expected Total Nurse Staffing Hours per Resident per Day
4.11432
Adjusted CNA Staffing Hours per Resident per Day
2.81066
Adjusted LPN Staffing Hours per Resident per Day
0.55869
Adjusted RN Staffing Hours per Resident per Day
0.94698
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46184
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
4
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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