Sunny Hill Health Care Ctr - Madison Nursing Home
General Information
UPDATEFederal Provider Number
525041
Provider Name
SUNNY HILL HEALTH CARE CTR
Provider Address
4325 NAKOMA RD
MADISON, WI 53711
MADISON, WI 53711
Provider Phone Number
(608) 271-7321
Provider SSA County
120
Provider County Name
Dane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR QUALITY CARE-WI, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.56618
Reported LPN Staffing Hours per Resident per Day
0.32941
Reported RN Staffing Hours per Resident per Day
0.76029
Reported Licensed Staffing Hours per Resident per Day
1.08971
Reported Total Nurse Staffing Hours per Resident per Day
2.65588
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02500
Expected CNA Staffing Hours per Resident per Day
2.28186
Expected LPN Staffing Hours per Resident per Day
0.62935
Expected RN Staffing Hours per Resident per Day
1.09100
Expected Total Nurse Staffing Hours per Resident per Day
4.00221
Adjusted CNA Staffing Hours per Resident per Day
1.68413
Adjusted LPN Staffing Hours per Resident per Day
0.43443
Adjusted RN Staffing Hours per Resident per Day
0.52070
Adjusted Total Nurse Staffing Hours per Resident per Day
2.67492
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
74.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
7
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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