Parkview Mnr Hlth Rehab Ctr - Green Bay Nursing Home
General Information
UPDATEFederal Provider Number
525307
Provider Name
PARKVIEW MNR HLTH REHAB CTR
Provider Address
2961 ST ANTHONY DR
GREEN BAY, WI 54311
GREEN BAY, WI 54311
Provider Phone Number
(920) 468-0861
Provider SSA County
40
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARKVIEW MANOR HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1981-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
2.36437
Reported LPN Staffing Hours per Resident per Day
0.37529
Reported RN Staffing Hours per Resident per Day
0.99598
Reported Licensed Staffing Hours per Resident per Day
1.37126
Reported Total Nurse Staffing Hours per Resident per Day
3.73564
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05517
Expected CNA Staffing Hours per Resident per Day
2.44073
Expected LPN Staffing Hours per Resident per Day
0.67263
Expected RN Staffing Hours per Resident per Day
1.07049
Expected Total Nurse Staffing Hours per Resident per Day
4.18385
Adjusted CNA Staffing Hours per Resident per Day
2.37694
Adjusted LPN Staffing Hours per Resident per Day
0.46309
Adjusted RN Staffing Hours per Resident per Day
0.69519
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59908
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
119
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
119
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
81.50000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
6
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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