Waters Edge Rehabilitation And Care Center - Kenosha Nursing Home

General Information

UPDATE
Federal Provider Number
525281
Provider Name
WATERS EDGE REHABILITATION AND CARE CENTER
Provider Address
3415 N SHERIDAN RD
KENOSHA, WI 53140
Provider Phone Number
(262) 657-6175
Provider SSA County
290
Provider County Name
Kenosha
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
159
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODSTOCK HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1976-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31939
Reported LPN Staffing Hours per Resident per Day
0.76480
Reported RN Staffing Hours per Resident per Day
0.67449
Reported Licensed Staffing Hours per Resident per Day
1.43929
Reported Total Nurse Staffing Hours per Resident per Day
3.75868
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03265
Expected CNA Staffing Hours per Resident per Day
2.30739
Expected LPN Staffing Hours per Resident per Day
0.70816
Expected RN Staffing Hours per Resident per Day
1.10822
Expected Total Nurse Staffing Hours per Resident per Day
4.12377
Adjusted CNA Staffing Hours per Resident per Day
2.46647
Adjusted LPN Staffing Hours per Resident per Day
0.89639
Adjusted RN Staffing Hours per Resident per Day
0.45476
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67403
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-06-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
20
Cycle 3 Standard Health Survey Date
2012-01-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
88.66700
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
12
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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