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Wausau Manor - Wausau Nursing Home

General Information

UPDATE
Federal Provider Number
525369
Provider Name
WAUSAU MANOR
Provider Address
3107 WESTHILL DR
WAUSAU, WI 54401
Provider Phone Number
7158420575
Provider SSA County
360
Provider County Name
Marathon
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EHF WAUSAU SNF OP, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-05-14
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.28095
Reported LPN Staffing Hours per Resident per Day
0.26746
Reported RN Staffing Hours per Resident per Day
1.43889
Reported Licensed Staffing Hours per Resident per Day
1.70635
Reported Total Nurse Staffing Hours per Resident per Day
3.98730
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17937
Expected CNA Staffing Hours per Resident per Day
2.50796
Expected LPN Staffing Hours per Resident per Day
0.69298
Expected RN Staffing Hours per Resident per Day
1.18565
Expected Total Nurse Staffing Hours per Resident per Day
4.38659
Adjusted CNA Staffing Hours per Resident per Day
2.23160
Adjusted LPN Staffing Hours per Resident per Day
0.32035
Adjusted RN Staffing Hours per Resident per Day
0.90679
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66399
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-24
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
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
98
Cycle 2 Standard Health Survey Date
2013-02-13
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
32013
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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