Skaalen Nursing And Rehabilitation Center - Stoughton Nursing Home
General Information
UPDATEFederal Provider Number
525512
Provider Name
SKAALEN NURSING AND REHABILITATION CENTER
Provider Address
400 N MORRIS ST
STOUGHTON, WI 53589
STOUGHTON, WI 53589
Provider Phone Number
6088735651
Provider SSA County
120
Provider County Name
Dane
Ownership Type
Non profit - Church related
Number of Certified Beds
110
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SKAALEN NURSING AND REHABILIATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1993-06-01
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
3
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
3.63720
Reported LPN Staffing Hours per Resident per Day
0.84329
Reported RN Staffing Hours per Resident per Day
0.64024
Reported Licensed Staffing Hours per Resident per Day
1.48354
Reported Total Nurse Staffing Hours per Resident per Day
5.12073
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05244
Expected CNA Staffing Hours per Resident per Day
2.54013
Expected LPN Staffing Hours per Resident per Day
0.58216
Expected RN Staffing Hours per Resident per Day
0.96672
Expected Total Nurse Staffing Hours per Resident per Day
4.08902
Adjusted CNA Staffing Hours per Resident per Day
3.51344
Adjusted LPN Staffing Hours per Resident per Day
1.20229
Adjusted RN Staffing Hours per Resident per Day
0.49485
Adjusted Total Nurse Staffing Hours per Resident per Day
5.04795
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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