Karmenta Center - Madison Nursing Home
General Information
UPDATEFederal Provider Number
525072
Provider Name
KARMENTA CENTER
Provider Address
4502 MILWAUKEE ST
MADISON, WI 53714
MADISON, WI 53714
Provider Phone Number
(608) 249-2137
Provider SSA County
120
Provider County Name
Dane
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN EAGLE NURSING HOME COMPANY OF MADISON, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-12-07
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45682
Reported LPN Staffing Hours per Resident per Day
0.81970
Reported RN Staffing Hours per Resident per Day
0.84091
Reported Licensed Staffing Hours per Resident per Day
1.66061
Reported Total Nurse Staffing Hours per Resident per Day
4.11743
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08409
Expected CNA Staffing Hours per Resident per Day
2.21961
Expected LPN Staffing Hours per Resident per Day
0.65275
Expected RN Staffing Hours per Resident per Day
1.17420
Expected Total Nurse Staffing Hours per Resident per Day
4.04656
Adjusted CNA Staffing Hours per Resident per Day
2.71593
Adjusted LPN Staffing Hours per Resident per Day
1.04228
Adjusted RN Staffing Hours per Resident per Day
0.53511
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10150
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2013-04-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
156
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
112
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
112
Total Weighted Health Survey Score
98.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
2
Total Amount of Fines in Dollars
29640
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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