Rennes Health And Rehab Center-depere - De Pere Nursing Home
General Information
UPDATEFederal Provider Number
525573
Provider Name
RENNES HEALTH AND REHAB CENTER-DEPERE
Provider Address
200 S NINTH ST
DE PERE, WI 54115
DE PERE, WI 54115
Provider Phone Number
(920) 336-5680
Provider SSA County
40
Provider County Name
Brown
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TDR INC
Date First Approved to Provide Medicare and Medicaid services
1995-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.54469
Reported LPN Staffing Hours per Resident per Day
0.42832
Reported RN Staffing Hours per Resident per Day
1.05221
Reported Licensed Staffing Hours per Resident per Day
1.48053
Reported Total Nurse Staffing Hours per Resident per Day
4.02522
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16681
Expected CNA Staffing Hours per Resident per Day
2.52436
Expected LPN Staffing Hours per Resident per Day
0.67809
Expected RN Staffing Hours per Resident per Day
1.26058
Expected Total Nurse Staffing Hours per Resident per Day
4.46304
Adjusted CNA Staffing Hours per Resident per Day
2.47346
Adjusted LPN Staffing Hours per Resident per Day
0.52427
Adjusted RN Staffing Hours per Resident per Day
0.62369
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63548
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
119
Cycle 2 Standard Health Survey Date
2013-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
119
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
49.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
3900
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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