Wisconsin Nursing Homes >> Madison Nursing Homes >> St Marys Care Center

St Marys Care Center - Madison Nursing Home

General Information

UPDATE
Federal Provider Number
525276
Provider Name
ST MARYS CARE CENTER
Provider Address
3401 MAPLE GROVE DR
MADISON, WI 53719
Provider Phone Number
6088451000
Provider SSA County
120
Provider County Name
Dane
Ownership Type
Non profit - Church related
Number of Certified Beds
184
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
SSM HEALTHCARE OF WISCONSIN INC
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
3.34236
Reported LPN Staffing Hours per Resident per Day
0.27739
Reported RN Staffing Hours per Resident per Day
1.35669
Reported Licensed Staffing Hours per Resident per Day
1.63408
Reported Total Nurse Staffing Hours per Resident per Day
4.97644
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08631
Expected CNA Staffing Hours per Resident per Day
2.42948
Expected LPN Staffing Hours per Resident per Day
0.57058
Expected RN Staffing Hours per Resident per Day
0.88458
Expected Total Nurse Staffing Hours per Resident per Day
3.88464
Adjusted CNA Staffing Hours per Resident per Day
3.37569
Adjusted LPN Staffing Hours per Resident per Day
0.40351
Adjusted RN Staffing Hours per Resident per Day
1.14598
Adjusted Total Nurse Staffing Hours per Resident per Day
5.16381
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-03-06
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
14
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
52.00000
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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