Villa At Middleton Village (the) - Middleton Nursing Home
General Information
UPDATEFederal Provider Number
525330
Provider Name
VILLA AT MIDDLETON VILLAGE (THE)
Provider Address
6201 ELMWOOD AVE
MIDDLETON, WI 53562
MIDDLETON, WI 53562
Provider Phone Number
6088318300
Provider SSA County
120
Provider County Name
Dane
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA AT MIDDLETON VILLAGE, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-12-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.99015
Reported LPN Staffing Hours per Resident per Day
0.57273
Reported RN Staffing Hours per Resident per Day
1.00682
Reported Licensed Staffing Hours per Resident per Day
1.57955
Reported Total Nurse Staffing Hours per Resident per Day
3.56970
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10303
Expected CNA Staffing Hours per Resident per Day
2.27670
Expected LPN Staffing Hours per Resident per Day
0.68688
Expected RN Staffing Hours per Resident per Day
1.34842
Expected Total Nurse Staffing Hours per Resident per Day
4.31200
Adjusted CNA Staffing Hours per Resident per Day
2.14487
Adjusted LPN Staffing Hours per Resident per Day
0.69207
Adjusted RN Staffing Hours per Resident per Day
0.55791
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33699
Cycle 1 Total Number of Health Deficiencies
32
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
21
Cycle 1 Health Deficiency Score
192
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
192
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
140
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
140
Total Weighted Health Survey Score
135.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
14
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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