Deerfield Care Center, Llc - New Richmond Nursing Home
General Information
UPDATEFederal Provider Number
525019
Provider Name
DEERFIELD CARE CENTER, LLC
Provider Address
575 HOSPITAL RD
NEW RICHMOND, WI 54017
NEW RICHMOND, WI 54017
Provider Phone Number
(715) 243-3930
Provider SSA County
540
Provider County Name
St. Croix
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
61
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEERFIELD CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-11-01
Continuing Care Retirement Community
Y
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
3.07364
Reported LPN Staffing Hours per Resident per Day
0.47000
Reported RN Staffing Hours per Resident per Day
1.25455
Reported Licensed Staffing Hours per Resident per Day
1.72455
Reported Total Nurse Staffing Hours per Resident per Day
4.79819
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16364
Expected CNA Staffing Hours per Resident per Day
2.46636
Expected LPN Staffing Hours per Resident per Day
0.60571
Expected RN Staffing Hours per Resident per Day
0.92130
Expected Total Nurse Staffing Hours per Resident per Day
3.99336
Adjusted CNA Staffing Hours per Resident per Day
3.05786
Adjusted LPN Staffing Hours per Resident per Day
0.64404
Adjusted RN Staffing Hours per Resident per Day
1.01748
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84329
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
156
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
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
36
Total Weighted Health Survey Score
60.00000
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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