Wisconsin Nursing Homes >> Sturgeon Bay Nursing Homes >> Door County Memorial Hospital Snf

Door County Memorial Hospital Snf - Sturgeon Bay Nursing Home

General Information

UPDATE
Federal Provider Number
525377
Provider Name
DOOR COUNTY MEMORIAL HOSPITAL SNF
Provider Address
323 S 18TH AVE
STURGEON BAY, WI 54235
Provider Phone Number
(920) 743-5566
Provider SSA County
140
Provider County Name
Door
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
DOOR COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1984-10-01
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
5
Health Inspection Rating Footnote
QM Rating
3
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
1.84565
Reported LPN Staffing Hours per Resident per Day
0.72609
Reported RN Staffing Hours per Resident per Day
1.84130
Reported Licensed Staffing Hours per Resident per Day
2.56739
Reported Total Nurse Staffing Hours per Resident per Day
4.41304
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06304
Expected CNA Staffing Hours per Resident per Day
2.41372
Expected LPN Staffing Hours per Resident per Day
0.60498
Expected RN Staffing Hours per Resident per Day
0.88718
Expected Total Nurse Staffing Hours per Resident per Day
3.90588
Adjusted CNA Staffing Hours per Resident per Day
1.87622
Adjusted LPN Staffing Hours per Resident per Day
0.99615
Adjusted RN Staffing Hours per Resident per Day
1.55079
Adjusted Total Nurse Staffing Hours per Resident per Day
4.55429
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.66700
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
Reviews: Be the first to review this provider.

Share your experience with Door County Memorial Hospital Snf. You can help others by writing a review.


Ask the Community

Connect, Seek Advice, Share Knowledge

Nursiong Homes Nearby

Golden Livingcenter-dorchester

200 N Seventh Ave | STURGEON BAY WI 54235 | 1 mile away

Good Samaritan Society-scandia Village

10560 Applewood Rd | SISTER BAY WI 54234 | 26.7 miles away