Dove Healthcare-west - Eau Claire Nursing Home
General Information
UPDATEFederal Provider Number
525387
Provider Name
DOVE HEALTHCARE-WEST
Provider Address
1405 TRUAX BLVD
EAU CLAIRE, WI 54703
EAU CLAIRE, WI 54703
Provider Phone Number
(715) 552-1030
Provider SSA County
170
Provider County Name
Eau Claire
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
160
Number of Residents in Certified Beds
142
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.35387
Reported LPN Staffing Hours per Resident per Day
0.27218
Reported RN Staffing Hours per Resident per Day
1.44014
Reported Licensed Staffing Hours per Resident per Day
1.71232
Reported Total Nurse Staffing Hours per Resident per Day
4.06619
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05880
Expected CNA Staffing Hours per Resident per Day
2.55545
Expected LPN Staffing Hours per Resident per Day
0.64951
Expected RN Staffing Hours per Resident per Day
1.02109
Expected Total Nurse Staffing Hours per Resident per Day
4.22605
Adjusted CNA Staffing Hours per Resident per Day
2.26015
Adjusted LPN Staffing Hours per Resident per Day
0.34782
Adjusted RN Staffing Hours per Resident per Day
1.05384
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87843
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-05-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
32.00000
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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