Markesan Resident Home - Markesan Nursing Home
General Information
UPDATEFederal Provider Number
525550
Provider Name
MARKESAN RESIDENT HOME
Provider Address
1130 N MARGARET
MARKESAN, WI 53946
MARKESAN, WI 53946
Provider Phone Number
(920) 398-2751
Provider SSA County
230
Provider County Name
Green Lake
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARKESAN RESIDENT HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
Continuing Care Retirement Community
Y
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
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
4.31771
Reported LPN Staffing Hours per Resident per Day
0.64583
Reported RN Staffing Hours per Resident per Day
0.75208
Reported Licensed Staffing Hours per Resident per Day
1.39792
Reported Total Nurse Staffing Hours per Resident per Day
5.71562
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.46124
Expected LPN Staffing Hours per Resident per Day
0.58854
Expected RN Staffing Hours per Resident per Day
0.94277
Expected Total Nurse Staffing Hours per Resident per Day
3.99254
Adjusted CNA Staffing Hours per Resident per Day
4.30448
Adjusted LPN Staffing Hours per Resident per Day
0.91080
Adjusted RN Staffing Hours per Resident per Day
0.59607
Adjusted Total Nurse Staffing Hours per Resident per Day
5.77053
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
13.33300
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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