Wisconsin Nursing Homes >> Fall Creek Nursing Homes >> Fall Creek Valley Care Ctr

Fall Creek Valley Care Ctr - Fall Creek Nursing Home

General Information

UPDATE
Federal Provider Number
525460
Provider Name
FALL CREEK VALLEY CARE CTR
Provider Address
344 LINCOLN AVE
FALL CREEK, WI 54742
Provider Phone Number
7158772411
Provider SSA County
170
Provider County Name
Eau Claire
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1990-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.56875
Reported LPN Staffing Hours per Resident per Day
0.54125
Reported RN Staffing Hours per Resident per Day
0.77125
Reported Licensed Staffing Hours per Resident per Day
1.31250
Reported Total Nurse Staffing Hours per Resident per Day
3.88125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02375
Expected CNA Staffing Hours per Resident per Day
2.27350
Expected LPN Staffing Hours per Resident per Day
0.57840
Expected RN Staffing Hours per Resident per Day
0.86308
Expected Total Nurse Staffing Hours per Resident per Day
3.71499
Adjusted CNA Staffing Hours per Resident per Day
2.77235
Adjusted LPN Staffing Hours per Resident per Day
0.77668
Adjusted RN Staffing Hours per Resident per Day
0.66770
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21130
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-26
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-12
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
30.66700
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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