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

(262) 691-2300

Provider SSA County

660

Provider County Name

Waukesha

Provider Website

Provider Description

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

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

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Resident

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

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

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2014-03-26

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

167

Cycle 2 Standard Health Survey Date

2013-02-11

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

167

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2011-11-22

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

70.33300

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

14918

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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