Pioneer Nursing Home - Prairie Farm Nursing Home

General Information

UPDATE
Federal Provider Number
525652
Provider Name
PIONEER NURSING HOME
Provider Address
530 RIVER AVE S
PRAIRIE FARM, WI 54762
Provider Phone Number
7154551178
Provider SSA County
20
Provider County Name
Barron
Ownership Type
Government - City
Number of Certified Beds
42
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLAGE OF PRAIRIE FARM
Date First Approved to Provide Medicare and Medicaid services
1999-07-23
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
4
Health Inspection Rating Footnote
QM Rating
4
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
3.06923
Reported LPN Staffing Hours per Resident per Day
0.94038
Reported RN Staffing Hours per Resident per Day
0.95000
Reported Licensed Staffing Hours per Resident per Day
1.89038
Reported Total Nurse Staffing Hours per Resident per Day
4.95961
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01923
Expected CNA Staffing Hours per Resident per Day
2.37134
Expected LPN Staffing Hours per Resident per Day
0.59278
Expected RN Staffing Hours per Resident per Day
0.86832
Expected Total Nurse Staffing Hours per Resident per Day
3.83244
Adjusted CNA Staffing Hours per Resident per Day
3.17583
Adjusted LPN Staffing Hours per Resident per Day
1.31669
Adjusted RN Staffing Hours per Resident per Day
0.81749
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21644
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-04-28
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
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
3
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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