Franciscan Villa - South Milwaukee Nursing Home

General Information

UPDATE
Federal Provider Number
525526
Provider Name
FRANCISCAN VILLA
Provider Address
3601 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Provider Phone Number
(414) 764-4100
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRANCISCAN VILLA OF SOUTH MILWAUKEE, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-11-19
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.21454
Reported LPN Staffing Hours per Resident per Day
0.53652
Reported RN Staffing Hours per Resident per Day
0.79149
Reported Licensed Staffing Hours per Resident per Day
1.32801
Reported Total Nurse Staffing Hours per Resident per Day
3.54255
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10745
Expected CNA Staffing Hours per Resident per Day
2.57534
Expected LPN Staffing Hours per Resident per Day
0.60023
Expected RN Staffing Hours per Resident per Day
0.96584
Expected Total Nurse Staffing Hours per Resident per Day
4.14140
Adjusted CNA Staffing Hours per Resident per Day
2.10995
Adjusted LPN Staffing Hours per Resident per Day
0.74191
Adjusted RN Staffing Hours per Resident per Day
0.61232
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44803
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
64
Cycle 1 Total Health Score
192
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
130.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
14333
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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