Milwaukee Catholic Home - Milwaukee Nursing Home
General Information
UPDATEFederal Provider Number
525635
Provider Name
MILWAUKEE CATHOLIC HOME
Provider Address
2330 N PROSPECT AVE
MILWAUKEE, WI 53211
MILWAUKEE, WI 53211
Provider Phone Number
4142204610
Provider SSA County
390
Provider County Name
Milwaukee
Ownership Type
Non profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILWAUKEE CATHOLIC HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-08-05
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
4
QM Rating Footnote
Staffing Rating
5
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
3.05905
Reported LPN Staffing Hours per Resident per Day
0.69048
Reported RN Staffing Hours per Resident per Day
0.95857
Reported Licensed Staffing Hours per Resident per Day
1.64905
Reported Total Nurse Staffing Hours per Resident per Day
4.70810
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06810
Expected CNA Staffing Hours per Resident per Day
2.52149
Expected LPN Staffing Hours per Resident per Day
0.59029
Expected RN Staffing Hours per Resident per Day
0.95968
Expected Total Nurse Staffing Hours per Resident per Day
4.07147
Adjusted CNA Staffing Hours per Resident per Day
2.97680
Adjusted LPN Staffing Hours per Resident per Day
0.97087
Adjusted RN Staffing Hours per Resident per Day
0.74634
Adjusted Total Nurse Staffing Hours per Resident per Day
4.66119
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3738
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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