Fair View Nursing Home - Mauston Nursing Home
General Information
UPDATEFederal Provider Number
525437
Provider Name
FAIR VIEW NURSING HOME
Provider Address
1050 DIVISION ST
MAUSTON, WI 53948
MAUSTON, WI 53948
Provider Phone Number
(608) 847-6161
Provider SSA County
280
Provider County Name
Juneau
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MILE BLUFF MEDICAL CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.55481
Reported LPN Staffing Hours per Resident per Day
0.46538
Reported RN Staffing Hours per Resident per Day
0.92404
Reported Licensed Staffing Hours per Resident per Day
1.38942
Reported Total Nurse Staffing Hours per Resident per Day
3.94423
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06827
Expected CNA Staffing Hours per Resident per Day
2.56518
Expected LPN Staffing Hours per Resident per Day
0.71604
Expected RN Staffing Hours per Resident per Day
1.11793
Expected Total Nurse Staffing Hours per Resident per Day
4.39915
Adjusted CNA Staffing Hours per Resident per Day
2.44378
Adjusted LPN Staffing Hours per Resident per Day
0.53945
Adjusted RN Staffing Hours per Resident per Day
0.61761
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61406
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
87
Cycle 1 Standard Survey Health Date
2014-11-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
87
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
64.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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