Greenway Manor - Spring Green Nursing Home
General Information
UPDATEFederal Provider Number
525396
Provider Name
GREENWAY MANOR
Provider Address
501 S WINSTED PO BOX 759
SPRING GREEN, WI 53588
SPRING GREEN, WI 53588
Provider Phone Number
(608) 588-2586
Provider SSA County
550
Provider County Name
Sauk
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIVER VALLEY NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1986-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
3.55000
Reported LPN Staffing Hours per Resident per Day
0.33061
Reported RN Staffing Hours per Resident per Day
0.97959
Reported Licensed Staffing Hours per Resident per Day
1.31020
Reported Total Nurse Staffing Hours per Resident per Day
4.86020
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00612
Expected CNA Staffing Hours per Resident per Day
2.64332
Expected LPN Staffing Hours per Resident per Day
0.67647
Expected RN Staffing Hours per Resident per Day
0.91734
Expected Total Nurse Staffing Hours per Resident per Day
4.23713
Adjusted CNA Staffing Hours per Resident per Day
3.29534
Adjusted LPN Staffing Hours per Resident per Day
0.40564
Adjusted RN Staffing Hours per Resident per Day
0.79790
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62365
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
32
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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