Sun Prairie Health Care Ctr - Sun Prairie Nursing Home
General Information
UPDATEFederal Provider Number
525380
Provider Name
SUN PRAIRIE HEALTH CARE CTR
Provider Address
228 W MAIN ST
SUN PRAIRIE, WI 53590
SUN PRAIRIE, WI 53590
Provider Phone Number
(608) 837-5959
Provider SSA County
120
Provider County Name
Dane
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
32
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUN PRAIRIE HEALTH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-06-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.76786
Reported LPN Staffing Hours per Resident per Day
0.91071
Reported RN Staffing Hours per Resident per Day
0.44286
Reported Licensed Staffing Hours per Resident per Day
1.35357
Reported Total Nurse Staffing Hours per Resident per Day
4.12143
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06071
Expected CNA Staffing Hours per Resident per Day
2.58251
Expected LPN Staffing Hours per Resident per Day
0.53021
Expected RN Staffing Hours per Resident per Day
0.80108
Expected Total Nurse Staffing Hours per Resident per Day
3.91380
Adjusted CNA Staffing Hours per Resident per Day
2.62980
Adjusted LPN Staffing Hours per Resident per Day
1.42565
Adjusted RN Staffing Hours per Resident per Day
0.41308
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24474
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
20
Cycle 2 Standard Health Survey Date
2013-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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