Crossroads Care Center Of Milwaukee - Milwaukee Nursing Home
General Information
UPDATEFederal Provider Number
525417
Provider Name
CROSSROADS CARE CENTER OF MILWAUKEE
Provider Address
3216 W HIGHLAND BLVD
MILWAUKEE, WI 53208
MILWAUKEE, WI 53208
Provider Phone Number
(414) 344-6515
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROSSROADS CARE CENTER OF MILWAUKEE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-09
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.82622
Reported LPN Staffing Hours per Resident per Day
1.04878
Reported RN Staffing Hours per Resident per Day
0.34390
Reported Licensed Staffing Hours per Resident per Day
1.39268
Reported Total Nurse Staffing Hours per Resident per Day
3.21890
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04695
Expected CNA Staffing Hours per Resident per Day
2.26582
Expected LPN Staffing Hours per Resident per Day
0.66370
Expected RN Staffing Hours per Resident per Day
1.13116
Expected Total Nurse Staffing Hours per Resident per Day
4.06068
Adjusted CNA Staffing Hours per Resident per Day
1.97765
Adjusted LPN Staffing Hours per Resident per Day
1.31156
Adjusted RN Staffing Hours per Resident per Day
0.22717
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19529
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-01-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
315
Cycle 2 Standard Health Survey Date
2012-10-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
315
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2011-07-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
156.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
17
Number of Fines
2
Total Amount of Fines in Dollars
5266
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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