Wisconsin Nursing Homes >> Elmwood Nursing Homes >> Heritage Of Elmwood Nh

Heritage Of Elmwood Nh - Elmwood Nursing Home

General Information

UPDATE
Federal Provider Number
525544
Provider Name
HERITAGE OF ELMWOOD NH
Provider Address
232 E SPRINGER AVE
ELMWOOD, WI 54740
Provider Phone Number
7156392911
Provider SSA County
460
Provider County Name
Pierce
Ownership Type
Government - City
Number of Certified Beds
46
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMWOOD NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1994-08-01
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
5
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
3.15694
Reported LPN Staffing Hours per Resident per Day
0.72639
Reported RN Staffing Hours per Resident per Day
0.81389
Reported Licensed Staffing Hours per Resident per Day
1.54028
Reported Total Nurse Staffing Hours per Resident per Day
4.69722
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01944
Expected CNA Staffing Hours per Resident per Day
2.48110
Expected LPN Staffing Hours per Resident per Day
0.56358
Expected RN Staffing Hours per Resident per Day
0.78464
Expected Total Nurse Staffing Hours per Resident per Day
3.82932
Adjusted CNA Staffing Hours per Resident per Day
3.12207
Adjusted LPN Staffing Hours per Resident per Day
1.06978
Adjusted RN Staffing Hours per Resident per Day
0.77505
Adjusted Total Nurse Staffing Hours per Resident per Day
4.94449
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
213
Cycle 1 Standard Survey Health Date
2015-04-14
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
213
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-06-09
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-06-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
125.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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