Eastview Medical And Rehabilitation Center - Antigo Nursing Home
General Information
UPDATEFederal Provider Number
525410
Provider Name
EASTVIEW MEDICAL AND REHABILITATION CENTER
Provider Address
729 PARK ST
ANTIGO, WI 54409
ANTIGO, WI 54409
Provider Phone Number
7156232356
Provider SSA County
330
Provider County Name
Langlade
Ownership Type
For profit - Corporation
Number of Certified Beds
166
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EASTVIEW HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1988-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
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
2.16474
Reported LPN Staffing Hours per Resident per Day
0.66789
Reported RN Staffing Hours per Resident per Day
0.70579
Reported Licensed Staffing Hours per Resident per Day
1.37368
Reported Total Nurse Staffing Hours per Resident per Day
3.53842
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08737
Expected CNA Staffing Hours per Resident per Day
2.26758
Expected LPN Staffing Hours per Resident per Day
0.59953
Expected RN Staffing Hours per Resident per Day
0.96465
Expected Total Nurse Staffing Hours per Resident per Day
3.83176
Adjusted CNA Staffing Hours per Resident per Day
2.34242
Adjusted LPN Staffing Hours per Resident per Day
0.92464
Adjusted RN Staffing Hours per Resident per Day
0.54669
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72231
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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