Wisconsin Nursing Homes >> Sheboygan Nursing Homes >> Sheboygan Progressive Care Ctr

Sheboygan Progressive Care Ctr - Sheboygan Nursing Home

General Information

UPDATE
Federal Provider Number
525511
Provider Name
SHEBOYGAN PROGRESSIVE CARE CTR
Provider Address
1902 MEAD AVE
SHEBOYGAN, WI 53081
Provider Phone Number
(920) 458-8333
Provider SSA County
580
Provider County Name
Sheboygan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
142
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1993-03-01
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16453
Reported LPN Staffing Hours per Resident per Day
0.78721
Reported RN Staffing Hours per Resident per Day
1.00116
Reported Licensed Staffing Hours per Resident per Day
1.78837
Reported Total Nurse Staffing Hours per Resident per Day
3.95290
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17267
Expected CNA Staffing Hours per Resident per Day
2.53899
Expected LPN Staffing Hours per Resident per Day
0.70306
Expected RN Staffing Hours per Resident per Day
1.16617
Expected Total Nurse Staffing Hours per Resident per Day
4.40822
Adjusted CNA Staffing Hours per Resident per Day
2.09182
Adjusted LPN Staffing Hours per Resident per Day
0.92934
Adjusted RN Staffing Hours per Resident per Day
0.64148
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61455
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-11-26
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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