Lindengrove New Berlin - New Berlin Nursing Home

General Information

UPDATE
Federal Provider Number
525064
Provider Name
LINDENGROVE NEW BERLIN
Provider Address
13755 W FIELDPOINTE DR
NEW BERLIN, WI 53151
Provider Phone Number
2627963660
Provider SSA County
660
Provider County Name
Waukesha
Ownership Type
Non profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LINDENGROVE, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.83388
Reported LPN Staffing Hours per Resident per Day
0.51942
Reported RN Staffing Hours per Resident per Day
0.90496
Reported Licensed Staffing Hours per Resident per Day
1.42438
Reported Total Nurse Staffing Hours per Resident per Day
4.25826
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06983
Expected CNA Staffing Hours per Resident per Day
2.71592
Expected LPN Staffing Hours per Resident per Day
0.66715
Expected RN Staffing Hours per Resident per Day
1.11678
Expected Total Nurse Staffing Hours per Resident per Day
4.49985
Adjusted CNA Staffing Hours per Resident per Day
2.56027
Adjusted LPN Staffing Hours per Resident per Day
0.64621
Adjusted RN Staffing Hours per Resident per Day
0.60548
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81449
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
20
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
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-09
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-12-20
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.66700
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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