Friendly Village Nursing And Rehab Center - Rhinelander Nursing Home
General Information
UPDATEFederal Provider Number
525459
Provider Name
FRIENDLY VILLAGE NURSING AND REHAB CENTER
Provider Address
900 BOYCE DR
RHINELANDER, WI 54501
RHINELANDER, WI 54501
Provider Phone Number
(715) 365-6832
Provider SSA County
420
Provider County Name
Oneida
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RHINELANDER HEALTHCARE OPERATOR 150, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-01
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.91552
Reported LPN Staffing Hours per Resident per Day
0.60690
Reported RN Staffing Hours per Resident per Day
0.58578
Reported Licensed Staffing Hours per Resident per Day
1.19267
Reported Total Nurse Staffing Hours per Resident per Day
3.10820
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04483
Expected CNA Staffing Hours per Resident per Day
2.21746
Expected LPN Staffing Hours per Resident per Day
0.58928
Expected RN Staffing Hours per Resident per Day
1.04497
Expected Total Nurse Staffing Hours per Resident per Day
3.85171
Adjusted CNA Staffing Hours per Resident per Day
2.11960
Adjusted LPN Staffing Hours per Resident per Day
0.85482
Adjusted RN Staffing Hours per Resident per Day
0.41886
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25280
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
159
Cycle 3 Standard Health Survey Date
2012-04-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
159
Total Weighted Health Survey Score
75.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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