Waukesha Springs Hlth Rehab - Waukesha Nursing Home
General Information
UPDATEFederal Provider Number
525242
Provider Name
WAUKESHA SPRINGS HLTH REHAB
Provider Address
1810 KENSINGTON DR
WAUKESHA, WI 53188
WAUKESHA, WI 53188
Provider Phone Number
(262) 548-1400
Provider SSA County
660
Provider County Name
Waukesha
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEGACY SENIOR SERVICES
Date First Approved to Provide Medicare and Medicaid services
1971-06-17
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.19038
Reported LPN Staffing Hours per Resident per Day
0.49269
Reported RN Staffing Hours per Resident per Day
0.69885
Reported Licensed Staffing Hours per Resident per Day
1.19154
Reported Total Nurse Staffing Hours per Resident per Day
3.38192
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04462
Expected CNA Staffing Hours per Resident per Day
2.44987
Expected LPN Staffing Hours per Resident per Day
0.63812
Expected RN Staffing Hours per Resident per Day
0.94539
Expected Total Nurse Staffing Hours per Resident per Day
4.03338
Adjusted CNA Staffing Hours per Resident per Day
2.19381
Adjusted LPN Staffing Hours per Resident per Day
0.64084
Adjusted RN Staffing Hours per Resident per Day
0.55234
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37984
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-04-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
87.33300
Number of Facility Reported Incidents
4
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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