Lutheran Home River Falls - River Falls Nursing Home
General Information
UPDATEFederal Provider Number
525385
Provider Name
LUTHERAN HOME RIVER FALLS
Provider Address
640 N MAIN ST
RIVER FALLS, WI 54022
RIVER FALLS, WI 54022
Provider Phone Number
(715) 425-5353
Provider SSA County
540
Provider County Name
St. Croix
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WISCONSIN LUTHERAN HOME MINISTRIES INC.
Date First Approved to Provide Medicare and Medicaid services
1985-04-01
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.05625
Reported LPN Staffing Hours per Resident per Day
0.99167
Reported RN Staffing Hours per Resident per Day
1.04271
Reported Licensed Staffing Hours per Resident per Day
2.03438
Reported Total Nurse Staffing Hours per Resident per Day
4.09063
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07396
Expected CNA Staffing Hours per Resident per Day
2.41060
Expected LPN Staffing Hours per Resident per Day
0.61063
Expected RN Staffing Hours per Resident per Day
0.97353
Expected Total Nurse Staffing Hours per Resident per Day
3.99476
Adjusted CNA Staffing Hours per Resident per Day
2.09301
Adjusted LPN Staffing Hours per Resident per Day
1.34792
Adjusted RN Staffing Hours per Resident per Day
0.80030
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12764
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
151
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
151
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
100.83300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
27723
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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