Lakeview Health Center - West Salem Nursing Home
General Information
UPDATEFederal Provider Number
52A287
Provider Name
LAKEVIEW HEALTH CENTER
Provider Address
902 E GARLAND ST
WEST SALEM, WI 54669
WEST SALEM, WI 54669
Provider Phone Number
(608) 786-1400
Provider SSA County
310
Provider County Name
La Crosse
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
99
Number of Residents in Certified Beds
101
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-11-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3.01584
Reported LPN Staffing Hours per Resident per Day
0.77624
Reported RN Staffing Hours per Resident per Day
1.27475
Reported Licensed Staffing Hours per Resident per Day
2.05099
Reported Total Nurse Staffing Hours per Resident per Day
5.06683
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02970
Expected CNA Staffing Hours per Resident per Day
2.34434
Expected LPN Staffing Hours per Resident per Day
0.60062
Expected RN Staffing Hours per Resident per Day
0.91531
Expected Total Nurse Staffing Hours per Resident per Day
3.86028
Adjusted CNA Staffing Hours per Resident per Day
3.15652
Adjusted LPN Staffing Hours per Resident per Day
1.07269
Adjusted RN Staffing Hours per Resident per Day
1.04062
Adjusted Total Nurse Staffing Hours per Resident per Day
5.29078
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-04-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
135
Cycle 2 Standard Health Survey Date
2013-03-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
135
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
75.66700
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
2
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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