Wisconsin Nursing Homes >> Friendship Nursing Homes >> Villa Pines Living Center

Villa Pines Living Center - Friendship Nursing Home

General Information

UPDATE
Federal Provider Number
525351
Provider Name
VILLA PINES LIVING CENTER
Provider Address
201 PARK ST, PO BOX 130
FRIENDSHIP, WI 53934
Provider Phone Number
(608) 339-3361
Provider SSA County
0
Provider County Name
Adams
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA PINES FACILITIES LLC
Date First Approved to Provide Medicare and Medicaid services
1984-03-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12164
Reported LPN Staffing Hours per Resident per Day
0.59701
Reported RN Staffing Hours per Resident per Day
0.50149
Reported Licensed Staffing Hours per Resident per Day
1.09851
Reported Total Nurse Staffing Hours per Resident per Day
3.22014
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07910
Expected CNA Staffing Hours per Resident per Day
2.42258
Expected LPN Staffing Hours per Resident per Day
0.60801
Expected RN Staffing Hours per Resident per Day
1.08983
Expected Total Nurse Staffing Hours per Resident per Day
4.12042
Adjusted CNA Staffing Hours per Resident per Day
2.14890
Adjusted LPN Staffing Hours per Resident per Day
0.81498
Adjusted RN Staffing Hours per Resident per Day
0.34383
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15018
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
103
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
103
Total Weighted Health Survey Score
68.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
2925
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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