St Anne's Salvatorian Campus - Milwaukee Nursing Home

General Information

UPDATE
Federal Provider Number
525524
Provider Name
ST ANNE'S SALVATORIAN CAMPUS
Provider Address
3800 N 92ND ST
MILWAUKEE, WI 53222
Provider Phone Number
(414) 463-7570
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST ANNES SALVATORIAN CAMPUS
Date First Approved to Provide Medicare and Medicaid services
1994-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.57766
Reported LPN Staffing Hours per Resident per Day
0.59947
Reported RN Staffing Hours per Resident per Day
0.68245
Reported Licensed Staffing Hours per Resident per Day
1.28191
Reported Total Nurse Staffing Hours per Resident per Day
3.85958
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02234
Expected CNA Staffing Hours per Resident per Day
2.57085
Expected LPN Staffing Hours per Resident per Day
0.58257
Expected RN Staffing Hours per Resident per Day
0.84426
Expected Total Nurse Staffing Hours per Resident per Day
3.99767
Adjusted CNA Staffing Hours per Resident per Day
2.46020
Adjusted LPN Staffing Hours per Resident per Day
0.85409
Adjusted RN Staffing Hours per Resident per Day
0.60399
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89166
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
1
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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