Grande Prairie Hlth And Rehab Ctr - Pleasant Prairie Nursing Home
General Information
UPDATEFederal Provider Number
525659
Provider Name
GRANDE PRAIRIE HLTH AND REHAB CTR
Provider Address
10330 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158
PLEASANT PRAIRIE, WI 53158
Provider Phone Number
(262) 612-2800
Provider SSA County
290
Provider County Name
Kenosha
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC PLEASANT PRAIRIE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
2000-08-31
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30427
Reported LPN Staffing Hours per Resident per Day
0.79268
Reported RN Staffing Hours per Resident per Day
1.16951
Reported Licensed Staffing Hours per Resident per Day
1.96220
Reported Total Nurse Staffing Hours per Resident per Day
4.26646
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26524
Expected CNA Staffing Hours per Resident per Day
2.51378
Expected LPN Staffing Hours per Resident per Day
0.70209
Expected RN Staffing Hours per Resident per Day
1.20786
Expected Total Nurse Staffing Hours per Resident per Day
4.42373
Adjusted CNA Staffing Hours per Resident per Day
2.24920
Adjusted LPN Staffing Hours per Resident per Day
0.93709
Adjusted RN Staffing Hours per Resident per Day
0.72348
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88760
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
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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