Tudor Oaks Health Center - Muskego Nursing Home
General Information
UPDATEFederal Provider Number
525279
Provider Name
TUDOR OAKS HEALTH CENTER
Provider Address
S77 W12929 MCSHANE DR
MUSKEGO, WI 53150
MUSKEGO, WI 53150
Provider Phone Number
(414) 529-0100
Provider SSA County
660
Provider County Name
Waukesha
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
61
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN BAPTIST HOMES OF THE MIDWEST
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
Continuing Care Retirement Community
Y
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
1
Health Inspection Rating Footnote
QM Rating
4
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
3.37455
Reported LPN Staffing Hours per Resident per Day
0.56000
Reported RN Staffing Hours per Resident per Day
0.85636
Reported Licensed Staffing Hours per Resident per Day
1.41636
Reported Total Nurse Staffing Hours per Resident per Day
4.79091
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10818
Expected CNA Staffing Hours per Resident per Day
2.80178
Expected LPN Staffing Hours per Resident per Day
0.58569
Expected RN Staffing Hours per Resident per Day
0.89856
Expected Total Nurse Staffing Hours per Resident per Day
4.28603
Adjusted CNA Staffing Hours per Resident per Day
2.95531
Adjusted LPN Staffing Hours per Resident per Day
0.79359
Adjusted RN Staffing Hours per Resident per Day
0.71211
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50572
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
273
Cycle 1 Standard Survey Health Date
2014-06-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
273
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
147.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
3576
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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