Mercy Residential And Rehab Ctr - Milwaukee Nursing Home
General Information
UPDATEFederal Provider Number
525414
Provider Name
MERCY RESIDENTIAL AND REHAB CTR
Provider Address
2727 W MITCHELL ST
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
Provider Phone Number
(414) 383-3699
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HEALTH FACILITIES INC.
Date First Approved to Provide Medicare and Medicaid services
1988-10-08
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
5
Health Inspection Rating Footnote
QM Rating
3
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
2.00727
Reported LPN Staffing Hours per Resident per Day
0.66818
Reported RN Staffing Hours per Resident per Day
1.28273
Reported Licensed Staffing Hours per Resident per Day
1.95091
Reported Total Nurse Staffing Hours per Resident per Day
3.95818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24636
Expected CNA Staffing Hours per Resident per Day
2.52824
Expected LPN Staffing Hours per Resident per Day
0.70710
Expected RN Staffing Hours per Resident per Day
1.32271
Expected Total Nurse Staffing Hours per Resident per Day
4.55805
Adjusted CNA Staffing Hours per Resident per Day
1.94809
Adjusted LPN Staffing Hours per Resident per Day
0.78432
Adjusted RN Staffing Hours per Resident per Day
0.72462
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50041
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
8
Cycle 1 Standard Survey Health Date
2014-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2012-11-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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