Nazareth Health And Rehab Center - Stoughton Nursing Home

General Information

UPDATE
Federal Provider Number
525681
Provider Name
NAZARETH HEALTH AND REHAB CENTER
Provider Address
814 JACKSON ST
STOUGHTON, WI 53589
Provider Phone Number
6088736448
Provider SSA County
120
Provider County Name
Dane
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2005-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12421
Reported LPN Staffing Hours per Resident per Day
0.64632
Reported RN Staffing Hours per Resident per Day
0.51474
Reported Licensed Staffing Hours per Resident per Day
1.16105
Reported Total Nurse Staffing Hours per Resident per Day
3.28527
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11105
Expected CNA Staffing Hours per Resident per Day
2.34966
Expected LPN Staffing Hours per Resident per Day
0.64584
Expected RN Staffing Hours per Resident per Day
1.13094
Expected Total Nurse Staffing Hours per Resident per Day
4.12645
Adjusted CNA Staffing Hours per Resident per Day
2.21826
Adjusted LPN Staffing Hours per Resident per Day
0.83062
Adjusted RN Staffing Hours per Resident per Day
0.34008
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20920
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
131
Cycle 1 Standard Survey Health Date
2014-10-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
131
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
48
Cycle 2 Standard Health Survey Date
2013-12-17
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
17
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
98.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
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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