Kennedy Park Nursing And Rehab Center - Schofield Nursing Home
General Information
UPDATEFederal Provider Number
525420
Provider Name
KENNEDY PARK NURSING AND REHAB CENTER
Provider Address
6001 ALDERSON ST
SCHOFIELD, WI 54476
SCHOFIELD, WI 54476
Provider Phone Number
7153594257
Provider SSA County
360
Provider County Name
Marathon
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KENNEDY PARK NURSING AND REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-15
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
4
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
2.43267
Reported LPN Staffing Hours per Resident per Day
0.31133
Reported RN Staffing Hours per Resident per Day
1.27800
Reported Licensed Staffing Hours per Resident per Day
1.58933
Reported Total Nurse Staffing Hours per Resident per Day
4.02200
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08400
Expected CNA Staffing Hours per Resident per Day
2.59207
Expected LPN Staffing Hours per Resident per Day
0.66941
Expected RN Staffing Hours per Resident per Day
1.10403
Expected Total Nurse Staffing Hours per Resident per Day
4.36551
Adjusted CNA Staffing Hours per Resident per Day
2.30281
Adjusted LPN Staffing Hours per Resident per Day
0.38602
Adjusted RN Staffing Hours per Resident per Day
0.86494
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71372
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
72
Cycle 1 Total Health Score
216
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-04-03
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
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
144.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
23010
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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