Upland Hills Nursing And Rehab - Dodgeville Nursing Home
General Information
UPDATEFederal Provider Number
525376
Provider Name
UPLAND HILLS NURSING AND REHAB
Provider Address
800 COMPASSION WAY
DODGEVILLE, WI 53533
DODGEVILLE, WI 53533
Provider Phone Number
(608) 930-7600
Provider SSA County
240
Provider County Name
Iowa
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
UPLAND HILLS HEALTH, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.54302
Reported LPN Staffing Hours per Resident per Day
0.09302
Reported RN Staffing Hours per Resident per Day
1.32326
Reported Licensed Staffing Hours per Resident per Day
1.41628
Reported Total Nurse Staffing Hours per Resident per Day
3.95930
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06512
Expected CNA Staffing Hours per Resident per Day
2.29214
Expected LPN Staffing Hours per Resident per Day
0.56978
Expected RN Staffing Hours per Resident per Day
0.95546
Expected Total Nurse Staffing Hours per Resident per Day
3.81737
Adjusted CNA Staffing Hours per Resident per Day
2.72227
Adjusted LPN Staffing Hours per Resident per Day
0.13550
Adjusted RN Staffing Hours per Resident per Day
1.03483
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18077
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
2014-09-16
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
7.33300
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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