Grand View Care Ctr - Blair Nursing Home
General Information
UPDATEFederal Provider Number
525624
Provider Name
GRAND VIEW CARE CTR
Provider Address
620 GRAND VIEW AVE PO BOX 27
BLAIR, WI 54616
BLAIR, WI 54616
Provider Phone Number
(608) 989-2511
Provider SSA County
600
Provider County Name
Trempealeau
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAND VIEW HOME INC
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
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
3
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
2.75000
Reported LPN Staffing Hours per Resident per Day
0.21667
Reported RN Staffing Hours per Resident per Day
0.75056
Reported Licensed Staffing Hours per Resident per Day
0.96722
Reported Total Nurse Staffing Hours per Resident per Day
3.71723
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04222
Expected CNA Staffing Hours per Resident per Day
2.38877
Expected LPN Staffing Hours per Resident per Day
0.56822
Expected RN Staffing Hours per Resident per Day
0.83313
Expected Total Nurse Staffing Hours per Resident per Day
3.79013
Adjusted CNA Staffing Hours per Resident per Day
2.82475
Adjusted LPN Staffing Hours per Resident per Day
0.31649
Adjusted RN Staffing Hours per Resident per Day
0.67314
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95337
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
36
Cycle 1 Standard Survey Health Date
2015-03-16
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-04-10
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-04-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
41.33300
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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