Crandon Nursing Home - Crandon Nursing Home
General Information
UPDATEFederal Provider Number
525428
Provider Name
CRANDON NURSING HOME
Provider Address
105 W PIONEER AVE PO BOX 400
CRANDON, WI 54520
CRANDON, WI 54520
Provider Phone Number
(715) 478-3324
Provider SSA County
200
Provider County Name
Forest
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ARIZCONSIN GROUP INC
Date First Approved to Provide Medicare and Medicaid services
1989-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.87500
Reported LPN Staffing Hours per Resident per Day
0.24205
Reported RN Staffing Hours per Resident per Day
0.96023
Reported Licensed Staffing Hours per Resident per Day
1.20227
Reported Total Nurse Staffing Hours per Resident per Day
3.07728
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.16804
Expected LPN Staffing Hours per Resident per Day
0.54720
Expected RN Staffing Hours per Resident per Day
0.84305
Expected Total Nurse Staffing Hours per Resident per Day
3.55829
Adjusted CNA Staffing Hours per Resident per Day
2.12205
Adjusted LPN Staffing Hours per Resident per Day
0.36715
Adjusted RN Staffing Hours per Resident per Day
0.85106
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48600
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
148
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
4
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
4
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
4615
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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