Crest View Nursing Home - New Lisbon Nursing Home
General Information
UPDATEFederal Provider Number
525581
Provider Name
CREST VIEW NURSING HOME
Provider Address
612 VIEW ST
NEW LISBON, WI 53950
NEW LISBON, WI 53950
Provider Phone Number
6085623667
Provider SSA County
280
Provider County Name
Juneau
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-11-01
Continuing Care Retirement Community
N
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.01569
Reported LPN Staffing Hours per Resident per Day
0.23922
Reported RN Staffing Hours per Resident per Day
1.12647
Reported Licensed Staffing Hours per Resident per Day
1.36569
Reported Total Nurse Staffing Hours per Resident per Day
4.38138
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02549
Expected CNA Staffing Hours per Resident per Day
2.67721
Expected LPN Staffing Hours per Resident per Day
0.59414
Expected RN Staffing Hours per Resident per Day
0.90403
Expected Total Nurse Staffing Hours per Resident per Day
4.17538
Adjusted CNA Staffing Hours per Resident per Day
2.76393
Adjusted LPN Staffing Hours per Resident per Day
0.33418
Adjusted RN Staffing Hours per Resident per Day
0.93105
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22977
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-01
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-12-05
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-09-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
3
Total Amount of Fines in Dollars
3219
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Fair View Nursing Home
1050 Division St |
MAUSTON WI 53948 | 8 miles away
Heritage Manor
307 Royall Ave Po Box 167 |
ELROY WI 53929 | 9.9 miles away
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