Spring Valley Health And Rehab Center - Spring Valley Nursing Home
General Information
UPDATEFederal Provider Number
525466
Provider Name
SPRING VALLEY HEALTH AND REHAB CENTER
Provider Address
S830 - WESTLAND DR
SPRING VALLEY, WI 54767
SPRING VALLEY, WI 54767
Provider Phone Number
(715) 778-5545
Provider SSA County
460
Provider County Name
Pierce
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRING VALLEY HEALTH CARE SERVICES, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-05-01
Continuing Care Retirement Community
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.44634
Reported LPN Staffing Hours per Resident per Day
0.40366
Reported RN Staffing Hours per Resident per Day
1.24268
Reported Licensed Staffing Hours per Resident per Day
1.64634
Reported Total Nurse Staffing Hours per Resident per Day
5.09268
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08415
Expected CNA Staffing Hours per Resident per Day
2.39199
Expected LPN Staffing Hours per Resident per Day
0.56556
Expected RN Staffing Hours per Resident per Day
0.86633
Expected Total Nurse Staffing Hours per Resident per Day
3.82388
Adjusted CNA Staffing Hours per Resident per Day
3.53526
Adjusted LPN Staffing Hours per Resident per Day
0.59240
Adjusted RN Staffing Hours per Resident per Day
1.07179
Adjusted Total Nurse Staffing Hours per Resident per Day
5.36839
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-04-02
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
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2014-05-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
152
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-07-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
76.00000
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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