Manorcare Health Services-east - Green Bay Nursing Home

General Information

UPDATE
Federal Provider Number
525009
Provider Name
MANORCARE HEALTH SERVICES-EAST
Provider Address
600 S WEBSTER AVE
GREEN BAY, WI 54301
Provider Phone Number
(920) 432-3213
Provider SSA County
40
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF GREEN BAY WI (EAST) LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.08534
Reported LPN Staffing Hours per Resident per Day
0.24741
Reported RN Staffing Hours per Resident per Day
1.30690
Reported Licensed Staffing Hours per Resident per Day
1.55431
Reported Total Nurse Staffing Hours per Resident per Day
3.63965
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11638
Expected CNA Staffing Hours per Resident per Day
2.53414
Expected LPN Staffing Hours per Resident per Day
0.74495
Expected RN Staffing Hours per Resident per Day
1.30489
Expected Total Nurse Staffing Hours per Resident per Day
4.58398
Adjusted CNA Staffing Hours per Resident per Day
2.01915
Adjusted LPN Staffing Hours per Resident per Day
0.27566
Adjusted RN Staffing Hours per Resident per Day
0.74835
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20051
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-02-24
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
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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