Rolling Hills Rehab Ctr - Sparta Nursing Home
General Information
UPDATEFederal Provider Number
525430
Provider Name
ROLLING HILLS REHAB CTR
Provider Address
14345 CTY HWY B
SPARTA, WI 54656
SPARTA, WI 54656
Provider Phone Number
(608) 269-8800
Provider SSA County
400
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
90
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF MONROE
Date First Approved to Provide Medicare and Medicaid services
1989-08-01
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
3
QM Rating Footnote
Staffing Rating
4
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
3.07365
Reported LPN Staffing Hours per Resident per Day
0.82230
Reported RN Staffing Hours per Resident per Day
0.61486
Reported Licensed Staffing Hours per Resident per Day
1.43716
Reported Total Nurse Staffing Hours per Resident per Day
4.51081
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.34758
Expected LPN Staffing Hours per Resident per Day
0.63539
Expected RN Staffing Hours per Resident per Day
0.97519
Expected Total Nurse Staffing Hours per Resident per Day
3.95816
Adjusted CNA Staffing Hours per Resident per Day
3.21259
Adjusted LPN Staffing Hours per Resident per Day
1.07416
Adjusted RN Staffing Hours per Resident per Day
0.47111
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59370
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
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
52
Cycle 2 Standard Health Survey Date
2013-12-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
64.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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