Dove Healthcare-south - Eau Claire Nursing Home
General Information
UPDATEFederal Provider Number
525701
Provider Name
DOVE HEALTHCARE-SOUTH
Provider Address
3656 MALL DRIVE
EAU CLAIRE, WI 54701
EAU CLAIRE, WI 54701
Provider Phone Number
(715) 552-1035
Provider SSA County
170
Provider County Name
Eau Claire
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
43
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
TRANSITIONS AT OAKWOOD LLC
Date First Approved to Provide Medicare and Medicaid services
2009-10-30
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
5
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
3.42326
Reported LPN Staffing Hours per Resident per Day
0.28953
Reported RN Staffing Hours per Resident per Day
2.73140
Reported Licensed Staffing Hours per Resident per Day
3.02093
Reported Total Nurse Staffing Hours per Resident per Day
6.44419
Reported Physical Therapist Staffing Hours per Resident Per Day
0.60930
Expected CNA Staffing Hours per Resident per Day
2.48235
Expected LPN Staffing Hours per Resident per Day
0.67747
Expected RN Staffing Hours per Resident per Day
1.29514
Expected Total Nurse Staffing Hours per Resident per Day
4.45496
Adjusted CNA Staffing Hours per Resident per Day
3.38375
Adjusted LPN Staffing Hours per Resident per Day
0.35472
Adjusted RN Staffing Hours per Resident per Day
1.57581
Adjusted Total Nurse Staffing Hours per Resident per Day
5.83078
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-04-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.00000
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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