Harbor Haven Health & Rehabilitation - Fond Du Lac Nursing Home

General Information

UPDATE
Federal Provider Number
525534
Provider Name
HARBOR HAVEN HEALTH & REHABILITATION
Provider Address
459 E FIRST STREET
FOND DU LAC, WI 54935
Provider Phone Number
9209293500
Provider SSA County
190
Provider County Name
Fond Du Lac
Ownership Type
Government - County
Number of Certified Beds
117
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOND DU LAC COUNTY
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.42500
Reported LPN Staffing Hours per Resident per Day
0.58029
Reported RN Staffing Hours per Resident per Day
1.00817
Reported Licensed Staffing Hours per Resident per Day
1.58846
Reported Total Nurse Staffing Hours per Resident per Day
4.01346
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02212
Expected CNA Staffing Hours per Resident per Day
2.46192
Expected LPN Staffing Hours per Resident per Day
0.60451
Expected RN Staffing Hours per Resident per Day
0.93099
Expected Total Nurse Staffing Hours per Resident per Day
3.99742
Adjusted CNA Staffing Hours per Resident per Day
2.41690
Adjusted LPN Staffing Hours per Resident per Day
0.79674
Adjusted RN Staffing Hours per Resident per Day
0.80915
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04707
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
210
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
21515
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Transitional Care Unit

430 E Division St | FOND DU LAC WI 54935 | 0.1 mile away

Grancare Nursing And Rehab Ctr

517 E Division St | FOND DU LAC WI 54935 | 0.2 mile away

St Francis Home

33 Everett St | FOND DU LAC WI 54935 | 0.3 mile away

Manorcare Health Services

265 S National Ave | FOND DU LAC WI 54935 | 0.6 mile away

All About Life Rehab Ctr

115 E Arndt St | FOND DU LAC WI 54935 | 1 mile away

Fond Du Lac Lutheran Home

244 N Macy St | FOND DU LAC WI 54935 | 1.2 miles away

Villa Loretto Nursing Home

N8114 County Ww | MOUNT CALVARY WI 53057 | 10.1 miles away

Fountain View Care Ctr

50 Wolverton Ave | RIPON WI 54971 | 21.1 miles away

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