Ledge View Nursing Center - De Pere Nursing Home
General Information
UPDATEFederal Provider Number
525515
Provider Name
LEDGE VIEW NURSING CENTER
Provider Address
3737 DICKINSON RD
DE PERE, WI 54115
DE PERE, WI 54115
Provider Phone Number
9203367733
Provider SSA County
40
Provider County Name
Brown
Ownership Type
For profit - Individual
Number of Certified Beds
32
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEDGE VIEW NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1993-07-01
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
3
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
2.37045
Reported LPN Staffing Hours per Resident per Day
1.05455
Reported RN Staffing Hours per Resident per Day
1.03409
Reported Licensed Staffing Hours per Resident per Day
2.08864
Reported Total Nurse Staffing Hours per Resident per Day
4.45909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00227
Expected CNA Staffing Hours per Resident per Day
2.58259
Expected LPN Staffing Hours per Resident per Day
0.55182
Expected RN Staffing Hours per Resident per Day
0.79538
Expected Total Nurse Staffing Hours per Resident per Day
3.92979
Adjusted CNA Staffing Hours per Resident per Day
2.25215
Adjusted LPN Staffing Hours per Resident per Day
1.58615
Adjusted RN Staffing Hours per Resident per Day
0.97146
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57382
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-08
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
20.66700
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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