Stoney River Rehab - Weston Nursing Home
General Information
UPDATEFederal Provider Number
525711
Provider Name
STONEY RIVER REHAB
Provider Address
7805 BIRCH ST
WESTON, WI 54476
WESTON, WI 54476
Provider Phone Number
(715) 298-3833
Provider SSA County
360
Provider County Name
Marathon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FPG & LCD LLC
Date First Approved to Provide Medicare and Medicaid services
2013-06-18
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.80357
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
2.65536
Reported Licensed Staffing Hours per Resident per Day
2.65536
Reported Total Nurse Staffing Hours per Resident per Day
4.45893
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16786
Expected CNA Staffing Hours per Resident per Day
2.49533
Expected LPN Staffing Hours per Resident per Day
0.80440
Expected RN Staffing Hours per Resident per Day
1.67491
Expected Total Nurse Staffing Hours per Resident per Day
4.97464
Adjusted CNA Staffing Hours per Resident per Day
1.77348
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.18459
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61303
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
2013-05-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
26.66700
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
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