River Hills West Health Care Center - Pewaukee Nursing Home

General Information

UPDATE
Federal Provider Number
525040
Provider Name
RIVER HILLS WEST HEALTH CARE CENTER
Provider Address
321 RIVERSIDE DR
PEWAUKEE, WI 53072
Provider Phone Number
2626912300
Provider SSA County
660
Provider County Name
Waukesha
Ownership Type
For profit - Corporation
Number of Certified Beds
175
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE-WI, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53217
Reported LPN Staffing Hours per Resident per Day
0.77174
Reported RN Staffing Hours per Resident per Day
0.49261
Reported Licensed Staffing Hours per Resident per Day
1.26435
Reported Total Nurse Staffing Hours per Resident per Day
3.79652
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06087
Expected CNA Staffing Hours per Resident per Day
2.53916
Expected LPN Staffing Hours per Resident per Day
0.59906
Expected RN Staffing Hours per Resident per Day
0.84771
Expected Total Nurse Staffing Hours per Resident per Day
3.98594
Adjusted CNA Staffing Hours per Resident per Day
2.44694
Adjusted LPN Staffing Hours per Resident per Day
1.06924
Adjusted RN Staffing Hours per Resident per Day
0.43420
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83935
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
24
Cycle 1 Standard Survey Health Date
2014-03-26
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
167
Cycle 2 Standard Health Survey Date
2013-02-11
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-11-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
70.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
14918
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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