Hope Health And Rehab - Lomira Nursing Home
General Information
UPDATEFederal Provider Number
525642
Provider Name
HOPE HEALTH AND REHAB
Provider Address
438 ASHFORD AVE PO BOX 280
LOMIRA, WI 53048
LOMIRA, WI 53048
Provider Phone Number
(920) 269-4386
Provider SSA County
130
Provider County Name
Dodge
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAK RIDGE CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1998-06-01
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
4
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
2.35000
Reported LPN Staffing Hours per Resident per Day
0.53485
Reported RN Staffing Hours per Resident per Day
1.08636
Reported Licensed Staffing Hours per Resident per Day
1.62121
Reported Total Nurse Staffing Hours per Resident per Day
3.97121
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03182
Expected CNA Staffing Hours per Resident per Day
2.41104
Expected LPN Staffing Hours per Resident per Day
0.62746
Expected RN Staffing Hours per Resident per Day
0.96027
Expected Total Nurse Staffing Hours per Resident per Day
3.99877
Adjusted CNA Staffing Hours per Resident per Day
2.39158
Adjusted LPN Staffing Hours per Resident per Day
0.70749
Adjusted RN Staffing Hours per Resident per Day
0.84532
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00312
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-01-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
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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