Wisconsin Nursing Homes >> West Bend Nursing Homes >> Samaritan Health Center

Samaritan Health Center - West Bend Nursing Home

General Information

UPDATE
Federal Provider Number
525165
Provider Name
SAMARITAN HEALTH CENTER
Provider Address
531 E WASHINGTON ST
WEST BEND, WI 53095
Provider Phone Number
(262) 335-4500
Provider SSA County
650
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
131
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WASHINGTON COUNTY WISCONSIN
Date First Approved to Provide Medicare and Medicaid services
1967-03-27
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
4
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
2.29113
Reported LPN Staffing Hours per Resident per Day
0.75565
Reported RN Staffing Hours per Resident per Day
0.65565
Reported Licensed Staffing Hours per Resident per Day
1.41129
Reported Total Nurse Staffing Hours per Resident per Day
3.70243
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09435
Expected CNA Staffing Hours per Resident per Day
2.46126
Expected LPN Staffing Hours per Resident per Day
0.63458
Expected RN Staffing Hours per Resident per Day
0.97975
Expected Total Nurse Staffing Hours per Resident per Day
4.07559
Adjusted CNA Staffing Hours per Resident per Day
2.28409
Adjusted LPN Staffing Hours per Resident per Day
0.98836
Adjusted RN Staffing Hours per Resident per Day
0.50003
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66183
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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