Rennes Health And Rehab Center- Appleton - Appleton Nursing Home
General Information
UPDATEFederal Provider Number
525583
Provider Name
RENNES HEALTH AND REHAB CENTER- APPLETON
Provider Address
325 E FLORIDA AVE
APPLETON, WI 54911
APPLETON, WI 54911
Provider Phone Number
(920) 731-7310
Provider SSA County
430
Provider County Name
Outagamie
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
88
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TDR INC
Date First Approved to Provide Medicare and Medicaid services
1995-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.44583
Reported LPN Staffing Hours per Resident per Day
0.20357
Reported RN Staffing Hours per Resident per Day
1.20060
Reported Licensed Staffing Hours per Resident per Day
1.40417
Reported Total Nurse Staffing Hours per Resident per Day
3.85000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18988
Expected CNA Staffing Hours per Resident per Day
2.64725
Expected LPN Staffing Hours per Resident per Day
0.76744
Expected RN Staffing Hours per Resident per Day
1.51643
Expected Total Nurse Staffing Hours per Resident per Day
4.93112
Adjusted CNA Staffing Hours per Resident per Day
2.26701
Adjusted LPN Staffing Hours per Resident per Day
0.22016
Adjusted RN Staffing Hours per Resident per Day
0.59158
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14715
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-11
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-11
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
18.66700
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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