Wisconsin Nursing Homes >> Port Washington Nursing Homes >> Heritage Nursing And Rehab Ctr

Heritage Nursing And Rehab Ctr - Port Washington Nursing Home

General Information

UPDATE
Federal Provider Number
525586
Provider Name
HERITAGE NURSING AND REHAB CTR
Provider Address
1119 N WISCONSIN ST
PORT WASHINGTON, WI 53074
Provider Phone Number
2622845892
Provider SSA County
440
Provider County Name
Ozaukee
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1996-06-01
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
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
2.23220
Reported LPN Staffing Hours per Resident per Day
0.66610
Reported RN Staffing Hours per Resident per Day
1.53136
Reported Licensed Staffing Hours per Resident per Day
2.19746
Reported Total Nurse Staffing Hours per Resident per Day
4.42966
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16356
Expected CNA Staffing Hours per Resident per Day
2.53682
Expected LPN Staffing Hours per Resident per Day
0.69756
Expected RN Staffing Hours per Resident per Day
1.20275
Expected Total Nurse Staffing Hours per Resident per Day
4.43713
Adjusted CNA Staffing Hours per Resident per Day
2.15907
Adjusted LPN Staffing Hours per Resident per Day
0.79256
Adjusted RN Staffing Hours per Resident per Day
0.95134
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02411
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-12-05
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-09-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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