Oregon Manor - Oregon Nursing Home
General Information
UPDATEFederal Provider Number
525536
Provider Name
OREGON MANOR
Provider Address
354 N MAIN ST
OREGON, WI 53575
OREGON, WI 53575
Provider Phone Number
6088353535
Provider SSA County
120
Provider County Name
Dane
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAVES ENTERPRISES, INC
Date First Approved to Provide Medicare and Medicaid services
1994-05-01
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
3
Health Inspection Rating Footnote
QM Rating
3
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
3.32375
Reported LPN Staffing Hours per Resident per Day
0.32875
Reported RN Staffing Hours per Resident per Day
1.04250
Reported Licensed Staffing Hours per Resident per Day
1.37125
Reported Total Nurse Staffing Hours per Resident per Day
4.69500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17000
Expected CNA Staffing Hours per Resident per Day
2.46636
Expected LPN Staffing Hours per Resident per Day
0.62380
Expected RN Staffing Hours per Resident per Day
0.99155
Expected Total Nurse Staffing Hours per Resident per Day
4.08172
Adjusted CNA Staffing Hours per Resident per Day
3.30669
Adjusted LPN Staffing Hours per Resident per Day
0.43742
Adjusted RN Staffing Hours per Resident per Day
0.78559
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63655
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-27
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
46.66700
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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