East Troy Manor - East Troy Nursing Home

General Information

UPDATE
Federal Provider Number
525561
Provider Name
EAST TROY MANOR
Provider Address
3271 NORTH ST
EAST TROY, WI 53120
Provider Phone Number
2626423995
Provider SSA County
630
Provider County Name
Walworth
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WISCONSIN ILLINOIS SENIOR HOUSING INC
Date First Approved to Provide Medicare and Medicaid services
1995-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.63295
Reported LPN Staffing Hours per Resident per Day
0.65114
Reported RN Staffing Hours per Resident per Day
0.81705
Reported Licensed Staffing Hours per Resident per Day
1.46818
Reported Total Nurse Staffing Hours per Resident per Day
5.10114
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04886
Expected CNA Staffing Hours per Resident per Day
2.53459
Expected LPN Staffing Hours per Resident per Day
0.65478
Expected RN Staffing Hours per Resident per Day
1.01498
Expected Total Nurse Staffing Hours per Resident per Day
4.20436
Adjusted CNA Staffing Hours per Resident per Day
3.51700
Adjusted LPN Staffing Hours per Resident per Day
0.82538
Adjusted RN Staffing Hours per Resident per Day
0.60149
Adjusted Total Nurse Staffing Hours per Resident per Day
4.89068
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
2013-09-05
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
25
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
172
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
172
Total Weighted Health Survey Score
52.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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

Nursiong Homes Nearby

Lakeland Health Care Ctr

1922 Cty Rd Nn | ELKHORN WI 53121 | 9.7 miles away

Holton Manor

645 N Church St | ELKHORN WI 53121 | 9.7 miles away

Geneva Lake Manor

211 S Curtis St | LAKE GENEVA WI 53147 | 14 miles away

Willowfield Nursing And Rehab

905 E Geneva St | DELAVAN WI 53115 | 15.5 miles away

Atrium Post Acute Care Of Williams Bay

146 Clover St | WILLIAMS BAY WI 53191 | 15.9 miles away

Fairhaven Corporation

435 W Starin Rd | WHITEWATER WI 53190 | 16.1 miles away

Golden Years Health Center

270 Ridge Road | WALWORTH WI 53184 | 19.9 miles away

Reviews: Be the first to review this provider.

Share your experience with East Troy Manor. You can help others by writing a review.