New Glarus Home - New Glarus Nursing Home
General Information
UPDATEFederal Provider Number
525630
Provider Name
NEW GLARUS HOME
Provider Address
600 2ND AVE
NEW GLARUS, WI 53574
NEW GLARUS, WI 53574
Provider Phone Number
(608) 527-2126
Provider SSA County
220
Provider County Name
Green
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
97
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW GLARUS HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.84167
Reported LPN Staffing Hours per Resident per Day
0.35139
Reported RN Staffing Hours per Resident per Day
0.84028
Reported Licensed Staffing Hours per Resident per Day
1.19167
Reported Total Nurse Staffing Hours per Resident per Day
4.03334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.53713
Expected LPN Staffing Hours per Resident per Day
0.59334
Expected RN Staffing Hours per Resident per Day
0.94981
Expected Total Nurse Staffing Hours per Resident per Day
4.08028
Adjusted CNA Staffing Hours per Resident per Day
2.74823
Adjusted LPN Staffing Hours per Resident per Day
0.49154
Adjusted RN Staffing Hours per Resident per Day
0.66103
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98452
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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