Pine Valley Hlth Care Rehab - Richland Center Nursing Home
General Information
UPDATEFederal Provider Number
525365
Provider Name
PINE VALLEY HLTH CARE REHAB
Provider Address
25951 CIRCLE VIEW DR
RICHLAND CENTER, WI 53581
RICHLAND CENTER, WI 53581
Provider Phone Number
(608) 647-2138
Provider SSA County
510
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
95
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF RICHLAND
Date First Approved to Provide Medicare and Medicaid services
1984-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59056
Reported LPN Staffing Hours per Resident per Day
0.50389
Reported RN Staffing Hours per Resident per Day
0.67389
Reported Licensed Staffing Hours per Resident per Day
1.17778
Reported Total Nurse Staffing Hours per Resident per Day
3.76834
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04833
Expected CNA Staffing Hours per Resident per Day
2.50676
Expected LPN Staffing Hours per Resident per Day
0.63039
Expected RN Staffing Hours per Resident per Day
1.00265
Expected Total Nurse Staffing Hours per Resident per Day
4.13979
Adjusted CNA Staffing Hours per Resident per Day
2.53573
Adjusted LPN Staffing Hours per Resident per Day
0.66345
Adjusted RN Staffing Hours per Resident per Day
0.50220
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66922
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Schmitt Woodland Hills
1400 W Seminary St |
RICHLAND CENTER WI 53581 | 3.2 miles away