Wisconsin Nursing Homes >> Wausau Nursing Homes >> Colonial Manor Medical And Rehabilitation Center

Colonial Manor Medical And Rehabilitation Center - Wausau Nursing Home

General Information

UPDATE
Federal Provider Number
525405
Provider Name
COLONIAL MANOR MEDICAL AND REHABILITATION CENTER
Provider Address
1010 E WAUSAU AVE
WAUSAU, WI 54403
Provider Phone Number
(715) 842-2028
Provider SSA County
360
Provider County Name
Marathon
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
150
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL MANOR HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1987-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30000
Reported LPN Staffing Hours per Resident per Day
0.57014
Reported RN Staffing Hours per Resident per Day
1.01806
Reported Licensed Staffing Hours per Resident per Day
1.58819
Reported Total Nurse Staffing Hours per Resident per Day
3.88820
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.48550
Expected LPN Staffing Hours per Resident per Day
0.64830
Expected RN Staffing Hours per Resident per Day
1.12524
Expected Total Nurse Staffing Hours per Resident per Day
4.25904
Adjusted CNA Staffing Hours per Resident per Day
2.27058
Adjusted LPN Staffing Hours per Resident per Day
0.72994
Adjusted RN Staffing Hours per Resident per Day
0.67603
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67993
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-06-25
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
66
Cycle 2 Total Health Score
198
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
210
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
210
Total Weighted Health Survey Score
133.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
Number of Fines
4
Total Amount of Fines in Dollars
38090
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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