Lindengrove Waukesha - Waukesha Nursing Home

General Information

UPDATE
Federal Provider Number
525422
Provider Name
LINDENGROVE WAUKESHA
Provider Address
425 N UNIVERSITY DR
WAUKESHA, WI 53188
Provider Phone Number
2625246400
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
1989-02-24
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.81488
Reported LPN Staffing Hours per Resident per Day
0.49256
Reported RN Staffing Hours per Resident per Day
0.82231
Reported Licensed Staffing Hours per Resident per Day
1.31488
Reported Total Nurse Staffing Hours per Resident per Day
4.12975
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12686
Expected CNA Staffing Hours per Resident per Day
2.61407
Expected LPN Staffing Hours per Resident per Day
0.61960
Expected RN Staffing Hours per Resident per Day
1.00282
Expected Total Nurse Staffing Hours per Resident per Day
4.23649
Adjusted CNA Staffing Hours per Resident per Day
2.64219
Adjusted LPN Staffing Hours per Resident per Day
0.65982
Adjusted RN Staffing Hours per Resident per Day
0.61270
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92934
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
226
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
226
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
121.66700
Number of Facility Reported Incidents
2
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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