Morrow Memorial Home - Sparta Nursing Home
General Information
UPDATEFederal Provider Number
525662
Provider Name
MORROW MEMORIAL HOME
Provider Address
331 S WATER ST
SPARTA, WI 54656
SPARTA, WI 54656
Provider Phone Number
6082693168
Provider SSA County
400
Provider County Name
Monroe
Ownership Type
Non profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MORROW MEMORIAL HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
2001-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.76809
Reported LPN Staffing Hours per Resident per Day
0.42234
Reported RN Staffing Hours per Resident per Day
0.80532
Reported Licensed Staffing Hours per Resident per Day
1.22766
Reported Total Nurse Staffing Hours per Resident per Day
3.99575
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06064
Expected CNA Staffing Hours per Resident per Day
2.58236
Expected LPN Staffing Hours per Resident per Day
0.64389
Expected RN Staffing Hours per Resident per Day
1.03061
Expected Total Nurse Staffing Hours per Resident per Day
4.25685
Adjusted CNA Staffing Hours per Resident per Day
2.63017
Adjusted LPN Staffing Hours per Resident per Day
0.54442
Adjusted RN Staffing Hours per Resident per Day
0.58387
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78366
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-27
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
11
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
52.66700
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
Nursiong Homes Nearby
Rolling Hills Rehab Ctr
14345 Cty Hwy B |
SPARTA WI 54656 | 1.7 miles away
Tomah Nursing And Rehab
1505 Butts Ave |
TOMAH WI 54660 | 14.7 miles away
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