Wisconsin Nursing Homes >> Wyocena Nursing Homes >> Columbia Health Care Center

Columbia Health Care Center - Wyocena Nursing Home

General Information

UPDATE
Federal Provider Number
525372
Provider Name
COLUMBIA HEALTH CARE CENTER
Provider Address
323 W MONROE ST PO BOX 895
WYOCENA, WI 53969
Provider Phone Number
(608) 429-2181
Provider SSA County
100
Provider County Name
Columbia
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
110
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF COLUMBIA
Date First Approved to Provide Medicare and Medicaid services
1984-06-04
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.76082
Reported LPN Staffing Hours per Resident per Day
0.77887
Reported RN Staffing Hours per Resident per Day
0.67629
Reported Licensed Staffing Hours per Resident per Day
1.45515
Reported Total Nurse Staffing Hours per Resident per Day
4.21598
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01340
Expected CNA Staffing Hours per Resident per Day
2.43157
Expected LPN Staffing Hours per Resident per Day
0.59758
Expected RN Staffing Hours per Resident per Day
0.88697
Expected Total Nurse Staffing Hours per Resident per Day
3.91612
Adjusted CNA Staffing Hours per Resident per Day
2.78595
Adjusted LPN Staffing Hours per Resident per Day
1.08179
Adjusted RN Staffing Hours per Resident per Day
0.56972
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33955
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
1
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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