Lutheran Home - Wauwatosa Nursing Home
General Information
UPDATEFederal Provider Number
525545
Provider Name
LUTHERAN HOME
Provider Address
7500 W NORTH AVE
WAUWATOSA, WI 53213
WAUWATOSA, WI 53213
Provider Phone Number
(414) 258-6170
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
187
Number of Residents in Certified Beds
182
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE LUTHERAN HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.79396
Reported LPN Staffing Hours per Resident per Day
0.67033
Reported RN Staffing Hours per Resident per Day
0.94423
Reported Licensed Staffing Hours per Resident per Day
1.61456
Reported Total Nurse Staffing Hours per Resident per Day
4.40852
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14725
Expected CNA Staffing Hours per Resident per Day
2.61391
Expected LPN Staffing Hours per Resident per Day
0.62649
Expected RN Staffing Hours per Resident per Day
1.05111
Expected Total Nurse Staffing Hours per Resident per Day
4.29150
Adjusted CNA Staffing Hours per Resident per Day
2.62271
Adjusted LPN Staffing Hours per Resident per Day
0.88809
Adjusted RN Staffing Hours per Resident per Day
0.67122
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14081
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
2013-09-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
36
Cycle 3 Standard Health Survey Date
2012-06-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
27.33300
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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