Virginia Highlands Hlth And Rehab - Germantown Nursing Home
General Information
UPDATEFederal Provider Number
525653
Provider Name
VIRGINIA HIGHLANDS HLTH AND REHAB
Provider Address
W173 N10915 BERNIES WAY
GERMANTOWN, WI 53022
GERMANTOWN, WI 53022
Provider Phone Number
(262) 509-3300
Provider SSA County
650
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC GERMANTOWN OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1999-10-14
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.21313
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.76188
Reported Licensed Staffing Hours per Resident per Day
0.76188
Reported Total Nurse Staffing Hours per Resident per Day
2.97501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17750
Expected CNA Staffing Hours per Resident per Day
2.35971
Expected LPN Staffing Hours per Resident per Day
0.60715
Expected RN Staffing Hours per Resident per Day
1.02255
Expected Total Nurse Staffing Hours per Resident per Day
3.98941
Adjusted CNA Staffing Hours per Resident per Day
2.30128
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.55672
Adjusted Total Nurse Staffing Hours per Resident per Day
3.00595
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
167
Cycle 3 Standard Health Survey Date
2012-07-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
167
Total Weighted Health Survey Score
54.50000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
71858
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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