Villa Marina Health And Rehab Ctr - Superior Nursing Home
General Information
UPDATEFederal Provider Number
525613
Provider Name
VILLA MARINA HEALTH AND REHAB CTR
Provider Address
35 N 28TH ST
SUPERIOR, WI 54880
SUPERIOR, WI 54880
Provider Phone Number
(715) 392-3300
Provider SSA County
150
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA MARINA HEALTH AND REHABILITATION CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1997-03-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.52031
Reported LPN Staffing Hours per Resident per Day
0.35156
Reported RN Staffing Hours per Resident per Day
0.96328
Reported Licensed Staffing Hours per Resident per Day
1.31484
Reported Total Nurse Staffing Hours per Resident per Day
3.83515
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.86958
Expected LPN Staffing Hours per Resident per Day
0.76482
Expected RN Staffing Hours per Resident per Day
1.25470
Expected Total Nurse Staffing Hours per Resident per Day
4.88910
Adjusted CNA Staffing Hours per Resident per Day
2.15505
Adjusted LPN Staffing Hours per Resident per Day
0.38152
Adjusted RN Staffing Hours per Resident per Day
0.57365
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16195
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-09-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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