Manitowoc Health Care Center - Manitowoc Nursing Home
General Information
UPDATEFederal Provider Number
525441
Provider Name
MANITOWOC HEALTH CARE CENTER
Provider Address
2021 S ALVERNO RD
MANITOWOC, WI 54220
MANITOWOC, WI 54220
Provider Phone Number
(920) 683-4100
Provider SSA County
350
Provider County Name
Manitowoc
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
136
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANITOWOC HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
2
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
2.63897
Reported LPN Staffing Hours per Resident per Day
0.34007
Reported RN Staffing Hours per Resident per Day
0.91691
Reported Licensed Staffing Hours per Resident per Day
1.25699
Reported Total Nurse Staffing Hours per Resident per Day
3.89595
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04191
Expected CNA Staffing Hours per Resident per Day
2.54991
Expected LPN Staffing Hours per Resident per Day
0.63979
Expected RN Staffing Hours per Resident per Day
0.99683
Expected Total Nurse Staffing Hours per Resident per Day
4.18653
Adjusted CNA Staffing Hours per Resident per Day
2.53940
Adjusted LPN Staffing Hours per Resident per Day
0.44117
Adjusted RN Staffing Hours per Resident per Day
0.68730
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75112
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-08-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
52
Cycle 3 Standard Health Survey Date
2012-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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