Vernon Manor - Viroqua Nursing Home
General Information
UPDATEFederal Provider Number
525562
Provider Name
VERNON MANOR
Provider Address
E7404A COUNTY RD BB
VIROQUA, WI 54665
VIROQUA, WI 54665
Provider Phone Number
(608) 637-5400
Provider SSA County
610
Provider County Name
Vernon
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
90
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF VERNON
Date First Approved to Provide Medicare and Medicaid services
1995-04-01
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
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.97603
Reported LPN Staffing Hours per Resident per Day
0.68288
Reported RN Staffing Hours per Resident per Day
0.76712
Reported Licensed Staffing Hours per Resident per Day
1.45000
Reported Total Nurse Staffing Hours per Resident per Day
4.42603
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04041
Expected CNA Staffing Hours per Resident per Day
2.62541
Expected LPN Staffing Hours per Resident per Day
0.66585
Expected RN Staffing Hours per Resident per Day
1.07020
Expected Total Nurse Staffing Hours per Resident per Day
4.36146
Adjusted CNA Staffing Hours per Resident per Day
2.78139
Adjusted LPN Staffing Hours per Resident per Day
0.85122
Adjusted RN Staffing Hours per Resident per Day
0.53559
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09057
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
147
Cycle 2 Standard Health Survey Date
2013-06-10
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
74
Cycle 2 Total Health Score
221
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
113.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
20379
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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