Fountain View Care Ctr - Ripon Nursing Home
General Information
UPDATEFederal Provider Number
525551
Provider Name
FOUNTAIN VIEW CARE CTR
Provider Address
50 WOLVERTON AVE
RIPON, WI 54971
RIPON, WI 54971
Provider Phone Number
(920) 748-5638
Provider SSA County
190
Provider County Name
Fond Du Lac
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1994-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31395
Reported LPN Staffing Hours per Resident per Day
0.72209
Reported RN Staffing Hours per Resident per Day
0.73023
Reported Licensed Staffing Hours per Resident per Day
1.45233
Reported Total Nurse Staffing Hours per Resident per Day
3.76627
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11977
Expected CNA Staffing Hours per Resident per Day
2.49042
Expected LPN Staffing Hours per Resident per Day
0.65111
Expected RN Staffing Hours per Resident per Day
1.17737
Expected Total Nurse Staffing Hours per Resident per Day
4.31890
Adjusted CNA Staffing Hours per Resident per Day
2.27983
Adjusted LPN Staffing Hours per Resident per Day
0.92049
Adjusted RN Staffing Hours per Resident per Day
0.46343
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51512
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
145
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
145
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-05-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
93.83300
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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