Pigeon Falls Hcc - Pigeon Falls Nursing Home

General Information

UPDATE
Federal Provider Number
525687
Provider Name
PIGEON FALLS HCC
Provider Address
13197 CHURCH ST
PIGEON FALLS, WI 54760
Provider Phone Number
7159832293
Provider SSA County
600
Provider County Name
Trempealeau
Ownership Type
Government - County
Number of Certified Beds
37
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF TREMPEALEAU
Date First Approved to Provide Medicare and Medicaid services
2007-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.43784
Reported LPN Staffing Hours per Resident per Day
0.55676
Reported RN Staffing Hours per Resident per Day
0.91216
Reported Licensed Staffing Hours per Resident per Day
1.46892
Reported Total Nurse Staffing Hours per Resident per Day
3.90676
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00946
Expected CNA Staffing Hours per Resident per Day
2.66476
Expected LPN Staffing Hours per Resident per Day
0.61939
Expected RN Staffing Hours per Resident per Day
0.89873
Expected Total Nurse Staffing Hours per Resident per Day
4.18288
Adjusted CNA Staffing Hours per Resident per Day
2.24475
Adjusted LPN Staffing Hours per Resident per Day
0.74607
Adjusted RN Staffing Hours per Resident per Day
0.75837
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76482
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
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
24
Cycle 2 Standard Health Survey Date
2014-03-06
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.00000
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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