Manorcare Health Services-platteville - Platteville Nursing Home
General Information
UPDATEFederal Provider Number
525219
Provider Name
MANORCARE HEALTH SERVICES-PLATTEVILLE
Provider Address
1300 N WATER ST
PLATTEVILLE, WI 53818
PLATTEVILLE, WI 53818
Provider Phone Number
(608) 348-2453
Provider SSA County
210
Provider County Name
Grant
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF PLATTEVILLE WI LLC
Date First Approved to Provide Medicare and Medicaid services
1969-05-22
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.17589
Reported LPN Staffing Hours per Resident per Day
0.85179
Reported RN Staffing Hours per Resident per Day
0.84286
Reported Licensed Staffing Hours per Resident per Day
1.69464
Reported Total Nurse Staffing Hours per Resident per Day
3.87054
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06518
Expected CNA Staffing Hours per Resident per Day
2.50822
Expected LPN Staffing Hours per Resident per Day
0.70415
Expected RN Staffing Hours per Resident per Day
1.13015
Expected Total Nurse Staffing Hours per Resident per Day
4.34252
Adjusted CNA Staffing Hours per Resident per Day
2.12859
Adjusted LPN Staffing Hours per Resident per Day
1.00403
Adjusted RN Staffing Hours per Resident per Day
0.55726
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59279
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
59
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
59
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
78.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
8483
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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