Villa Maria Health And Rehab Ctr - Hurley Nursing Home

General Information

UPDATE
Federal Provider Number
525540
Provider Name
VILLA MARIA HEALTH AND REHAB CTR
Provider Address
300 VILLA DR
HURLEY, WI 54534
Provider Phone Number
(715) 561-3200
Provider SSA County
250
Provider County Name
Iron
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
70
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA MARIA HEALTH AND REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1994-06-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.55678
Reported LPN Staffing Hours per Resident per Day
0.36864
Reported RN Staffing Hours per Resident per Day
1.35085
Reported Licensed Staffing Hours per Resident per Day
1.71949
Reported Total Nurse Staffing Hours per Resident per Day
4.27627
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04831
Expected CNA Staffing Hours per Resident per Day
2.85901
Expected LPN Staffing Hours per Resident per Day
0.65566
Expected RN Staffing Hours per Resident per Day
0.91592
Expected Total Nurse Staffing Hours per Resident per Day
4.43059
Adjusted CNA Staffing Hours per Resident per Day
2.19432
Adjusted LPN Staffing Hours per Resident per Day
0.46666
Adjusted RN Staffing Hours per Resident per Day
1.10202
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89050
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
1
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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