Grancare Nursing Center - Green Bay Nursing Home
General Information
UPDATEFederal Provider Number
525486
Provider Name
GRANCARE NURSING CENTER
Provider Address
1555 DOUSMAN ST
GREEN BAY, WI 54303
GREEN BAY, WI 54303
Provider Phone Number
(920) 494-4525
Provider SSA County
40
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ZUNKER HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.78769
Reported LPN Staffing Hours per Resident per Day
0.42846
Reported RN Staffing Hours per Resident per Day
1.01077
Reported Licensed Staffing Hours per Resident per Day
1.43923
Reported Total Nurse Staffing Hours per Resident per Day
4.22692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04308
Expected CNA Staffing Hours per Resident per Day
2.52833
Expected LPN Staffing Hours per Resident per Day
0.63713
Expected RN Staffing Hours per Resident per Day
0.98608
Expected Total Nurse Staffing Hours per Resident per Day
4.15154
Adjusted CNA Staffing Hours per Resident per Day
2.70540
Adjusted LPN Staffing Hours per Resident per Day
0.55816
Adjusted RN Staffing Hours per Resident per Day
0.76591
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10409
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
175
Cycle 2 Standard Health Survey Date
2014-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
175
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
77.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
13195
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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