Mary Jude Nursing Home - West Allis Nursing Home
General Information
UPDATEFederal Provider Number
525432
Provider Name
MARY JUDE NURSING HOME
Provider Address
9806 W LINCOLN AVE
WEST ALLIS, WI 53227
WEST ALLIS, WI 53227
Provider Phone Number
(414) 543-5330
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARY JUDE HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.43372
Reported LPN Staffing Hours per Resident per Day
0.57558
Reported RN Staffing Hours per Resident per Day
0.75233
Reported Licensed Staffing Hours per Resident per Day
1.32791
Reported Total Nurse Staffing Hours per Resident per Day
3.76163
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01977
Expected CNA Staffing Hours per Resident per Day
2.55139
Expected LPN Staffing Hours per Resident per Day
0.58865
Expected RN Staffing Hours per Resident per Day
0.88729
Expected Total Nurse Staffing Hours per Resident per Day
4.02733
Adjusted CNA Staffing Hours per Resident per Day
2.34053
Adjusted LPN Staffing Hours per Resident per Day
0.81157
Adjusted RN Staffing Hours per Resident per Day
0.63355
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76497
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
61523
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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