Wisconsin Nursing Homes >> Green Bay Nursing Homes >> Manorcare Health Services-west

Manorcare Health Services-west - Green Bay Nursing Home

General Information

UPDATE
Federal Provider Number
525232
Provider Name
MANORCARE HEALTH SERVICES-WEST
Provider Address
1760 SHAWANO AVE
GREEN BAY, WI 54303
Provider Phone Number
(920) 499-5191
Provider SSA County
40
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF GREEN BAY WI (WEST) LLC
Date First Approved to Provide Medicare and Medicaid services
1970-06-16
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
2
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
2.16000
Reported LPN Staffing Hours per Resident per Day
0.52750
Reported RN Staffing Hours per Resident per Day
0.95188
Reported Licensed Staffing Hours per Resident per Day
1.47938
Reported Total Nurse Staffing Hours per Resident per Day
3.63938
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15313
Expected CNA Staffing Hours per Resident per Day
2.60421
Expected LPN Staffing Hours per Resident per Day
0.72964
Expected RN Staffing Hours per Resident per Day
1.25600
Expected Total Nurse Staffing Hours per Resident per Day
4.58985
Adjusted CNA Staffing Hours per Resident per Day
2.03516
Adjusted LPN Staffing Hours per Resident per Day
0.60006
Adjusted RN Staffing Hours per Resident per Day
0.56628
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19618
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
37.33300
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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