Neighbors - Central Neighborhood (the) - Menomonie Nursing Home
General Information
UPDATEFederal Provider Number
525433
Provider Name
NEIGHBORS - CENTRAL NEIGHBORHOOD (THE)
Provider Address
2901 FORBES AVE
MENOMONIE, WI 54751
MENOMONIE, WI 54751
Provider Phone Number
(715) 232-2429
Provider SSA County
160
Provider County Name
Dunn
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
45
Number of Residents in Certified Beds
39
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
1989-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
3.35641
Reported LPN Staffing Hours per Resident per Day
0.42179
Reported RN Staffing Hours per Resident per Day
1.69487
Reported Licensed Staffing Hours per Resident per Day
2.11667
Reported Total Nurse Staffing Hours per Resident per Day
5.47307
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10128
Expected CNA Staffing Hours per Resident per Day
2.28355
Expected LPN Staffing Hours per Resident per Day
0.67136
Expected RN Staffing Hours per Resident per Day
1.12301
Expected Total Nurse Staffing Hours per Resident per Day
4.07792
Adjusted CNA Staffing Hours per Resident per Day
3.60649
Adjusted LPN Staffing Hours per Resident per Day
0.52146
Adjusted RN Staffing Hours per Resident per Day
1.12769
Adjusted Total Nurse Staffing Hours per Resident per Day
5.40996
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
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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