St Johns On The Lake - Milwaukee Nursing Home

General Information

UPDATE
Federal Provider Number
525539
Provider Name
ST JOHNS ON THE LAKE
Provider Address
1840 N PROSPECT AVE
MILWAUKEE, WI 53202
Provider Phone Number
4142722022
Provider SSA County
390
Provider County Name
Milwaukee
Ownership Type
Non profit - Church related
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 JOHNS COMMUNITIES INC.
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.48125
Reported LPN Staffing Hours per Resident per Day
0.91979
Reported RN Staffing Hours per Resident per Day
1.02292
Reported Licensed Staffing Hours per Resident per Day
1.94271
Reported Total Nurse Staffing Hours per Resident per Day
4.42396
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07396
Expected CNA Staffing Hours per Resident per Day
2.24767
Expected LPN Staffing Hours per Resident per Day
0.59053
Expected RN Staffing Hours per Resident per Day
1.01537
Expected Total Nurse Staffing Hours per Resident per Day
3.85357
Adjusted CNA Staffing Hours per Resident per Day
2.70869
Adjusted LPN Staffing Hours per Resident per Day
1.29278
Adjusted RN Staffing Hours per Resident per Day
0.75276
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62754
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
2014-04-02
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-15
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-03-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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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