Wisconsin Nursing Homes >> Clintonville Nursing Homes >> Greentree Health And Rehab Ctr

Greentree Health And Rehab Ctr - Clintonville Nursing Home

General Information

UPDATE
Federal Provider Number
525348
Provider Name
GREENTREE HEALTH AND REHAB CTR
Provider Address
70 GREENTREE RD
CLINTONVILLE, WI 54929
Provider Phone Number
(715) 823-2194
Provider SSA County
670
Provider County Name
Waupaca
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOLF RIVER HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
1984-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44643
Reported LPN Staffing Hours per Resident per Day
0.71071
Reported RN Staffing Hours per Resident per Day
0.46429
Reported Licensed Staffing Hours per Resident per Day
1.17500
Reported Total Nurse Staffing Hours per Resident per Day
3.62143
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11905
Expected CNA Staffing Hours per Resident per Day
2.50125
Expected LPN Staffing Hours per Resident per Day
0.59285
Expected RN Staffing Hours per Resident per Day
0.93562
Expected Total Nurse Staffing Hours per Resident per Day
4.02972
Adjusted CNA Staffing Hours per Resident per Day
2.39993
Adjusted LPN Staffing Hours per Resident per Day
0.99500
Adjusted RN Staffing Hours per Resident per Day
0.37079
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62249
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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