Eastcastle Pl Bradford Ter Conv Ctr - Milwaukee Nursing Home
General Information
UPDATEFederal Provider Number
525085
Provider Name
EASTCASTLE PL BRADFORD TER CONV CTR
Provider Address
2505 E BRADFORD AVE
MILWAUKEE, WI 53211
MILWAUKEE, WI 53211
Provider Phone Number
(414) 963-6151
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTCASTLE PLACE, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.86724
Reported LPN Staffing Hours per Resident per Day
0.48966
Reported RN Staffing Hours per Resident per Day
1.67069
Reported Licensed Staffing Hours per Resident per Day
2.16034
Reported Total Nurse Staffing Hours per Resident per Day
5.02759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28793
Expected CNA Staffing Hours per Resident per Day
2.45462
Expected LPN Staffing Hours per Resident per Day
0.68454
Expected RN Staffing Hours per Resident per Day
1.18099
Expected Total Nurse Staffing Hours per Resident per Day
4.32015
Adjusted CNA Staffing Hours per Resident per Day
2.86616
Adjusted LPN Staffing Hours per Resident per Day
0.59371
Adjusted RN Staffing Hours per Resident per Day
1.05703
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69097
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
172
Cycle 1 Standard Survey Health Date
2014-08-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
172
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-06-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
131.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
8
Number of Fines
3
Total Amount of Fines in Dollars
43941
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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