Wisconsin Nursing Homes >> Weyauwega Nursing Homes >> Crossroads Care Center Of Weyauwega

Crossroads Care Center Of Weyauwega - Weyauwega Nursing Home

General Information

UPDATE
Federal Provider Number
525315
Provider Name
CROSSROADS CARE CENTER OF WEYAUWEGA
Provider Address
717 E ALFRED ST
WEYAUWEGA, WI 54983
Provider Phone Number
(920) 867-3121
Provider SSA County
670
Provider County Name
Waupaca
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.28529
Reported LPN Staffing Hours per Resident per Day
0.51324
Reported RN Staffing Hours per Resident per Day
1.24118
Reported Licensed Staffing Hours per Resident per Day
1.75441
Reported Total Nurse Staffing Hours per Resident per Day
4.03971
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10441
Expected CNA Staffing Hours per Resident per Day
2.62572
Expected LPN Staffing Hours per Resident per Day
0.75641
Expected RN Staffing Hours per Resident per Day
1.19290
Expected Total Nurse Staffing Hours per Resident per Day
4.57503
Adjusted CNA Staffing Hours per Resident per Day
2.13558
Adjusted LPN Staffing Hours per Resident per Day
0.56317
Adjusted RN Staffing Hours per Resident per Day
0.77744
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55925
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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