Sheridan Medical Complex - Kenosha Nursing Home

General Information

UPDATE
Federal Provider Number
525318
Provider Name
SHERIDAN MEDICAL COMPLEX
Provider Address
8400 SHERIDAN RD
KENOSHA, WI 53143
Provider Phone Number
(262) 658-4141
Provider SSA County
290
Provider County Name
Kenosha
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
96
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHERIDAN MEDICAL LLC
Date First Approved to Provide Medicare and Medicaid services
1982-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
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
1.95526
Reported LPN Staffing Hours per Resident per Day
0.85987
Reported RN Staffing Hours per Resident per Day
0.56382
Reported Licensed Staffing Hours per Resident per Day
1.42368
Reported Total Nurse Staffing Hours per Resident per Day
3.37895
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03947
Expected CNA Staffing Hours per Resident per Day
2.42128
Expected LPN Staffing Hours per Resident per Day
0.63509
Expected RN Staffing Hours per Resident per Day
1.10084
Expected Total Nurse Staffing Hours per Resident per Day
4.15721
Adjusted CNA Staffing Hours per Resident per Day
1.98144
Adjusted LPN Staffing Hours per Resident per Day
1.12376
Adjusted RN Staffing Hours per Resident per Day
0.38269
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27629
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
12
Cycle 3 Standard Health Survey Date
2012-03-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
78.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
15
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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