Pine View Care Center - Black River Falls Nursing Home
General Information
UPDATEFederal Provider Number
525409
Provider Name
PINE VIEW CARE CENTER
Provider Address
400 COUNTY RD R
BLACK RIVER FALLS, WI 54615
BLACK RIVER FALLS, WI 54615
Provider Phone Number
(715) 284-5396
Provider SSA County
260
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACKSON PINE VIEW HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-10-01
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.34198
Reported LPN Staffing Hours per Resident per Day
0.58025
Reported RN Staffing Hours per Resident per Day
0.70802
Reported Licensed Staffing Hours per Resident per Day
1.28827
Reported Total Nurse Staffing Hours per Resident per Day
3.63025
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06420
Expected CNA Staffing Hours per Resident per Day
2.43335
Expected LPN Staffing Hours per Resident per Day
0.57109
Expected RN Staffing Hours per Resident per Day
0.86185
Expected Total Nurse Staffing Hours per Resident per Day
3.86628
Adjusted CNA Staffing Hours per Resident per Day
2.36157
Adjusted LPN Staffing Hours per Resident per Day
0.84332
Adjusted RN Staffing Hours per Resident per Day
0.61383
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78482
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
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
80
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-05-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
0
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
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Nursiong Homes Nearby
Family Heritage Nursing & Rehabilitation Center
1311 Tyler St |
BLACK RIVER FALLS WI 54615 | 0.5 mile away