Homme Home For The Aging - Wittenberg Nursing Home

General Information

UPDATE
Federal Provider Number
525527
Provider Name
HOMME HOME FOR THE AGING
Provider Address
604 S WEBB ST
WITTENBERG, WI 54499
Provider Phone Number
7152532125
Provider SSA County
570
Provider County Name
Shawano
Ownership Type
Non profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOMME HOME FOR THE AGING INC.
Date First Approved to Provide Medicare and Medicaid services
1994-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.18657
Reported LPN Staffing Hours per Resident per Day
0.49478
Reported RN Staffing Hours per Resident per Day
1.47612
Reported Licensed Staffing Hours per Resident per Day
1.97090
Reported Total Nurse Staffing Hours per Resident per Day
5.15747
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07463
Expected CNA Staffing Hours per Resident per Day
2.45280
Expected LPN Staffing Hours per Resident per Day
0.67346
Expected RN Staffing Hours per Resident per Day
1.23670
Expected Total Nurse Staffing Hours per Resident per Day
4.36296
Adjusted CNA Staffing Hours per Resident per Day
3.18774
Adjusted LPN Staffing Hours per Resident per Day
0.60979
Adjusted RN Staffing Hours per Resident per Day
0.89185
Adjusted Total Nurse Staffing Hours per Resident per Day
4.76494
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-16
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
16
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-05-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
52.00000
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

Nursiong Homes Nearby

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Atrium Post Acute Care Of Shawano At Evergreen

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Atrium Post Acute Care Of Shawano At Birch Hill

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