Waunakee Mnr Hlth Care Ctr - Waunakee Nursing Home
General Information
UPDATEFederal Provider Number
525098
Provider Name
WAUNAKEE MNR HLTH CARE CTR
Provider Address
801 KLEIN DR
WAUNAKEE, WI 53597
WAUNAKEE, WI 53597
Provider Phone Number
(608) 849-5016
Provider SSA County
120
Provider County Name
Dane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAUNAKEE MANOR HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.39938
Reported LPN Staffing Hours per Resident per Day
0.68500
Reported RN Staffing Hours per Resident per Day
0.72500
Reported Licensed Staffing Hours per Resident per Day
1.41000
Reported Total Nurse Staffing Hours per Resident per Day
3.80938
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20125
Expected CNA Staffing Hours per Resident per Day
2.59951
Expected LPN Staffing Hours per Resident per Day
0.62350
Expected RN Staffing Hours per Resident per Day
0.97289
Expected Total Nurse Staffing Hours per Resident per Day
4.19591
Adjusted CNA Staffing Hours per Resident per Day
2.26480
Adjusted LPN Staffing Hours per Resident per Day
0.91187
Adjusted RN Staffing Hours per Resident per Day
0.55681
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65957
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
24
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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