Omro Care Center - Omro Nursing Home
General Information
UPDATEFederal Provider Number
525406
Provider Name
OMRO CARE CENTER
Provider Address
500 GRANT AVE
OMRO, WI 54963
OMRO, WI 54963
Provider Phone Number
(920) 685-2755
Provider SSA County
690
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
114
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OMRO HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.72870
Reported LPN Staffing Hours per Resident per Day
0.56481
Reported RN Staffing Hours per Resident per Day
0.70926
Reported Licensed Staffing Hours per Resident per Day
1.27407
Reported Total Nurse Staffing Hours per Resident per Day
3.00277
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11019
Expected CNA Staffing Hours per Resident per Day
2.29068
Expected LPN Staffing Hours per Resident per Day
0.57144
Expected RN Staffing Hours per Resident per Day
0.93894
Expected Total Nurse Staffing Hours per Resident per Day
3.80106
Adjusted CNA Staffing Hours per Resident per Day
1.85172
Adjusted LPN Staffing Hours per Resident per Day
0.82038
Adjusted RN Staffing Hours per Resident per Day
0.56442
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18434
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
155
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
155
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
87.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
15405
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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