Wisconsin Nursing Homes >> Prairie Du Chien Nursing Homes >> Prairie Maison

Prairie Maison - Prairie Du Chien Nursing Home

General Information

UPDATE
Federal Provider Number
525525
Provider Name
PRAIRIE MAISON
Provider Address
700 SOUTH FREMONT
PRAIRIE DU CHIEN, WI 53821
Provider Phone Number
(608) 326-8471
Provider SSA County
110
Provider County Name
Crawford
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
70
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRAIRIE NURSING FACILITY LLC
Date First Approved to Provide Medicare and Medicaid services
1993-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
3.01230
Reported LPN Staffing Hours per Resident per Day
0.58197
Reported RN Staffing Hours per Resident per Day
0.65574
Reported Licensed Staffing Hours per Resident per Day
1.23770
Reported Total Nurse Staffing Hours per Resident per Day
4.25001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.47089
Expected LPN Staffing Hours per Resident per Day
0.62486
Expected RN Staffing Hours per Resident per Day
0.99578
Expected Total Nurse Staffing Hours per Resident per Day
4.09153
Adjusted CNA Staffing Hours per Resident per Day
2.99134
Adjusted LPN Staffing Hours per Resident per Day
0.77303
Adjusted RN Staffing Hours per Resident per Day
0.49205
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18703
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
147
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
147
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
107.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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