Oakwood Villa - Altoona Nursing Home
General Information
UPDATEFederal Provider Number
525454
Provider Name
OAKWOOD VILLA
Provider Address
2512 NEW PINE DR
ALTOONA, WI 54720
ALTOONA, WI 54720
Provider Phone Number
(715) 833-0400
Provider SSA County
170
Provider County Name
Eau Claire
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.35694
Reported LPN Staffing Hours per Resident per Day
0.34722
Reported RN Staffing Hours per Resident per Day
1.38889
Reported Licensed Staffing Hours per Resident per Day
1.73611
Reported Total Nurse Staffing Hours per Resident per Day
4.09305
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06042
Expected CNA Staffing Hours per Resident per Day
2.70070
Expected LPN Staffing Hours per Resident per Day
0.71850
Expected RN Staffing Hours per Resident per Day
1.19248
Expected Total Nurse Staffing Hours per Resident per Day
4.61168
Adjusted CNA Staffing Hours per Resident per Day
2.14138
Adjusted LPN Staffing Hours per Resident per Day
0.40110
Adjusted RN Staffing Hours per Resident per Day
0.87027
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57758
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
32
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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