Morningside Health Ctr - Sheboygan Nursing Home
General Information
UPDATEFederal Provider Number
525607
Provider Name
MORNINGSIDE HEALTH CTR
Provider Address
3431 N 13TH ST
SHEBOYGAN, WI 53083
SHEBOYGAN, WI 53083
Provider Phone Number
(920) 457-5046
Provider SSA County
580
Provider County Name
Sheboygan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1996-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.12424
Reported LPN Staffing Hours per Resident per Day
0.39848
Reported RN Staffing Hours per Resident per Day
1.34848
Reported Licensed Staffing Hours per Resident per Day
1.74697
Reported Total Nurse Staffing Hours per Resident per Day
3.87120
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10152
Expected CNA Staffing Hours per Resident per Day
2.58872
Expected LPN Staffing Hours per Resident per Day
0.61987
Expected RN Staffing Hours per Resident per Day
0.94798
Expected Total Nurse Staffing Hours per Resident per Day
4.15656
Adjusted CNA Staffing Hours per Resident per Day
2.01345
Adjusted LPN Staffing Hours per Resident per Day
0.53356
Adjusted RN Staffing Hours per Resident per Day
1.06288
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75417
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-03-26
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
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
16
Cycle 3 Standard Health Survey Date
2013-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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