St Paul Recovery Inn - Appleton Nursing Home
General Information
UPDATEFederal Provider Number
525703
Provider Name
ST PAUL RECOVERY INN
Provider Address
2105 E ENTERPRISE AVE
APPLETON, WI 54913
APPLETON, WI 54913
Provider Phone Number
9207666020
Provider SSA County
430
Provider County Name
Outagamie
Ownership Type
Non profit - Church related
Number of Certified Beds
12
Number of Residents in Certified Beds
2
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ST PAUL ELDER SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
2010-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
3.34445
Expected LPN Staffing Hours per Resident per Day
1.41482
Expected RN Staffing Hours per Resident per Day
2.67778
Expected Total Nurse Staffing Hours per Resident per Day
7.43705
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
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
2014-09-17
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
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-20
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
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
2012-08-06
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
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
Nursiong Homes Nearby
Bridges Of Appleton (the)
2915 N Meade St |
APPLETON WI 54911 | 1.4 miles away
Rennes Health And Rehab Center- Appleton
325 E Florida Ave |
APPLETON WI 54911 | 1.5 miles away
Fox River Nursing And Rehab Center
601 N Briarcliff Dr |
APPLETON WI 54915 | 2.3 miles away
Manorcare Health Services
1335 S Oneida St |
APPLETON WI 54915 | 3.8 miles away
Atrium Post Acute Care Of Little Chute
1201 Garfield Ave |
LITTLE CHUTE WI 54140 | 3.9 miles away
Brewster Village
3300 W Brewster St |
APPLETON WI 54914 | 4.5 miles away
Peabody Manor
2600 S Heritage Woods Dr |
APPLETON WI 54915 | 4.7 miles away
St Paul Elder Services, Inc
316 East 14th Street |
KAUKAUNA WI 54130 | 5.5 miles away
Good Shepherd Services Ltd
607 Bronson Rd |
SEYMOUR WI 54165 | 15.7 miles away
Anna John Resident Centered Care Community
2901 South Overland Road |
ONEIDA WI 54155 | 17 miles away
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