St Francis In The Park Hlth Rehab - Superior Nursing Home
General Information
UPDATEFederal Provider Number
525397
Provider Name
ST FRANCIS IN THE PARK HLTH REHAB
Provider Address
1800 NEW YORK AVE
SUPERIOR, WI 54880
SUPERIOR, WI 54880
Provider Phone Number
(715) 394-5591
Provider SSA County
150
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HP SUPERIOR INC
Date First Approved to Provide Medicare and Medicaid services
1986-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.38033
Reported LPN Staffing Hours per Resident per Day
0.53770
Reported RN Staffing Hours per Resident per Day
0.93115
Reported Licensed Staffing Hours per Resident per Day
1.46885
Reported Total Nurse Staffing Hours per Resident per Day
3.84918
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09344
Expected CNA Staffing Hours per Resident per Day
2.05859
Expected LPN Staffing Hours per Resident per Day
0.53087
Expected RN Staffing Hours per Resident per Day
0.89319
Expected Total Nurse Staffing Hours per Resident per Day
3.48265
Adjusted CNA Staffing Hours per Resident per Day
2.83719
Adjusted LPN Staffing Hours per Resident per Day
0.84068
Adjusted RN Staffing Hours per Resident per Day
0.77896
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45513
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
340
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
340
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
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
20
Total Weighted Health Survey Score
152.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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