Water's Edge - Hayward Nursing Home
General Information
UPDATEFederal Provider Number
525632
Provider Name
WATER'S EDGE
Provider Address
11040 NORTH STATE RD 77
HAYWARD, WI 54843
HAYWARD, WI 54843
Provider Phone Number
7159344321
Provider SSA County
560
Provider County Name
Sawyer
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICAL SERVICES, INC
Date First Approved to Provide Medicare and Medicaid services
1997-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
3.04583
Reported LPN Staffing Hours per Resident per Day
0.55521
Reported RN Staffing Hours per Resident per Day
0.80729
Reported Licensed Staffing Hours per Resident per Day
1.36250
Reported Total Nurse Staffing Hours per Resident per Day
4.40833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.27083
Expected CNA Staffing Hours per Resident per Day
2.57413
Expected LPN Staffing Hours per Resident per Day
0.60287
Expected RN Staffing Hours per Resident per Day
0.97300
Expected Total Nurse Staffing Hours per Resident per Day
4.15001
Adjusted CNA Staffing Hours per Resident per Day
2.90333
Adjusted LPN Staffing Hours per Resident per Day
0.76439
Adjusted RN Staffing Hours per Resident per Day
0.61994
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28181
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-03-11
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-03-26
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
Golden Livingcenter-valley Of Hayward
10775 Nyman Ave |
HAYWARD WI 54843 | 0.9 mile away
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