Orchard Manor - Lancaster Nursing Home
General Information
UPDATEFederal Provider Number
525290
Provider Name
ORCHARD MANOR
Provider Address
8800 HWY 61
LANCASTER, WI 53813
LANCASTER, WI 53813
Provider Phone Number
6087232113
Provider SSA County
210
Provider County Name
Grant
Ownership Type
Government - County
Number of Certified Beds
121
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF GRANT
Date First Approved to Provide Medicare and Medicaid services
1978-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
3.18349
Reported LPN Staffing Hours per Resident per Day
0.24587
Reported RN Staffing Hours per Resident per Day
0.83945
Reported Licensed Staffing Hours per Resident per Day
1.08532
Reported Total Nurse Staffing Hours per Resident per Day
4.26881
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02294
Expected CNA Staffing Hours per Resident per Day
2.44876
Expected LPN Staffing Hours per Resident per Day
0.56827
Expected RN Staffing Hours per Resident per Day
0.79519
Expected Total Nurse Staffing Hours per Resident per Day
3.81223
Adjusted CNA Staffing Hours per Resident per Day
3.18991
Adjusted LPN Staffing Hours per Resident per Day
0.35911
Adjusted RN Staffing Hours per Resident per Day
0.78879
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51367
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2011-12-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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
Nursiong Homes Nearby
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Boscobel Care And Rehab
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St Dominic Villa
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