Newcare - Crivitz Nursing Home
General Information
UPDATEFederal Provider Number
525489
Provider Name
NEWCARE
Provider Address
903 MAIN AVE PO BOX 460
CRIVITZ, WI 54114
CRIVITZ, WI 54114
Provider Phone Number
(715) 854-2717
Provider SSA County
370
Provider County Name
Marinette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
56
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
1992-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.54107
Reported LPN Staffing Hours per Resident per Day
0.33125
Reported RN Staffing Hours per Resident per Day
0.74732
Reported Licensed Staffing Hours per Resident per Day
1.07857
Reported Total Nurse Staffing Hours per Resident per Day
3.61964
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02143
Expected CNA Staffing Hours per Resident per Day
2.53375
Expected LPN Staffing Hours per Resident per Day
0.59671
Expected RN Staffing Hours per Resident per Day
0.94021
Expected Total Nurse Staffing Hours per Resident per Day
4.07068
Adjusted CNA Staffing Hours per Resident per Day
2.46079
Adjusted LPN Staffing Hours per Resident per Day
0.46075
Adjusted RN Staffing Hours per Resident per Day
0.59390
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58427
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
222
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
222
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2012-11-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
148.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
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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