Wisconsin Nursing Homes >> Milwaukee Nursing Homes >> Wellspring Of Milwaukee

Wellspring Of Milwaukee - Milwaukee Nursing Home

General Information

UPDATE
Federal Provider Number
525367
Provider Name
WELLSPRING OF MILWAUKEE
Provider Address
9350 W FOND DU LAC AVE
MILWAUKEE, WI 53225
Provider Phone Number
(414) 438-4360
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
185
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILWAUKEE HEALTH CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1983-07-22
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
1
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
2.18151
Reported LPN Staffing Hours per Resident per Day
0.88908
Reported RN Staffing Hours per Resident per Day
0.77227
Reported Licensed Staffing Hours per Resident per Day
1.66134
Reported Total Nurse Staffing Hours per Resident per Day
3.84286
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11050
Expected CNA Staffing Hours per Resident per Day
2.48203
Expected LPN Staffing Hours per Resident per Day
0.68124
Expected RN Staffing Hours per Resident per Day
1.14213
Expected Total Nurse Staffing Hours per Resident per Day
4.30540
Adjusted CNA Staffing Hours per Resident per Day
2.15661
Adjusted LPN Staffing Hours per Resident per Day
1.08322
Adjusted RN Staffing Hours per Resident per Day
0.50523
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59785
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
203
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
203
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-09-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
109.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
27
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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