St Croix Health Center - New Richmond Nursing Home

General Information

UPDATE
Federal Provider Number
525468
Provider Name
ST CROIX HEALTH CENTER
Provider Address
1445 N FOURTH ST
NEW RICHMOND, WI 54017
Provider Phone Number
7152466991
Provider SSA County
540
Provider County Name
St. Croix
Ownership Type
Government - City/county
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST CROIX COUNTY
Date First Approved to Provide Medicare and Medicaid services
1990-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.53333
Reported LPN Staffing Hours per Resident per Day
0.44271
Reported RN Staffing Hours per Resident per Day
1.03125
Reported Licensed Staffing Hours per Resident per Day
1.47396
Reported Total Nurse Staffing Hours per Resident per Day
4.00729
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02813
Expected CNA Staffing Hours per Resident per Day
2.28319
Expected LPN Staffing Hours per Resident per Day
0.60648
Expected RN Staffing Hours per Resident per Day
1.02606
Expected Total Nurse Staffing Hours per Resident per Day
3.91573
Adjusted CNA Staffing Hours per Resident per Day
2.72252
Adjusted LPN Staffing Hours per Resident per Day
0.60587
Adjusted RN Staffing Hours per Resident per Day
0.75098
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12515
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-08-28
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
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
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
32.00000
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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