Wheaton Franciscan Hc - Franciscan Woods - Brookfield Nursing Home

General Information

UPDATE
Federal Provider Number
525528
Provider Name
WHEATON FRANCISCAN HC - FRANCISCAN WOODS
Provider Address
19525 W NORTH AVE
BROOKFIELD, WI 53045
Provider Phone Number
2627851114
Provider SSA County
660
Provider County Name
Waukesha
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHEATON FRANCISCAN HEALTHCARE PHARMACY ENT & FRANCISCAN WOODS
Date First Approved to Provide Medicare and Medicaid services
1993-12-30
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.31753
Reported LPN Staffing Hours per Resident per Day
0.62526
Reported RN Staffing Hours per Resident per Day
1.17629
Reported Licensed Staffing Hours per Resident per Day
1.80155
Reported Total Nurse Staffing Hours per Resident per Day
4.11908
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21959
Expected CNA Staffing Hours per Resident per Day
2.79657
Expected LPN Staffing Hours per Resident per Day
0.73919
Expected RN Staffing Hours per Resident per Day
1.19331
Expected Total Nurse Staffing Hours per Resident per Day
4.72906
Adjusted CNA Staffing Hours per Resident per Day
2.03339
Adjusted LPN Staffing Hours per Resident per Day
0.70208
Adjusted RN Staffing Hours per Resident per Day
0.73654
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51097
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-01
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-04-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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