Luther Home - Marinette Nursing Home
General Information
UPDATEFederal Provider Number
525476
Provider Name
LUTHER HOME
Provider Address
831 PINE BEACH RD
MARINETTE, WI 54143
MARINETTE, WI 54143
Provider Phone Number
(715) 732-0155
Provider SSA County
370
Provider County Name
Marinette
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
120
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN LUTHERAN CHURCH-NORTHLAND LUTHERN SERVICES FOR THE ELDERLY
Date First Approved to Provide Medicare and Medicaid services
1991-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.53514
Reported LPN Staffing Hours per Resident per Day
0.40721
Reported RN Staffing Hours per Resident per Day
0.91802
Reported Licensed Staffing Hours per Resident per Day
1.32523
Reported Total Nurse Staffing Hours per Resident per Day
3.86037
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03153
Expected CNA Staffing Hours per Resident per Day
2.56196
Expected LPN Staffing Hours per Resident per Day
0.65355
Expected RN Staffing Hours per Resident per Day
1.05953
Expected Total Nurse Staffing Hours per Resident per Day
4.27504
Adjusted CNA Staffing Hours per Resident per Day
2.42801
Adjusted LPN Staffing Hours per Resident per Day
0.51715
Adjusted RN Staffing Hours per Resident per Day
0.64740
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63991
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-11-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
31.33300
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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