Willowcrest Care Center - South Milwaukee Nursing Home
General Information
UPDATEFederal Provider Number
525413
Provider Name
WILLOWCREST CARE CENTER
Provider Address
3821 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
SOUTH MILWAUKEE, WI 53172
Provider Phone Number
(414) 762-7336
Provider SSA County
390
Provider County Name
Milwaukee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1988-07-21
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.62788
Reported LPN Staffing Hours per Resident per Day
0.77788
Reported RN Staffing Hours per Resident per Day
1.11062
Reported Licensed Staffing Hours per Resident per Day
1.88850
Reported Total Nurse Staffing Hours per Resident per Day
4.51638
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13717
Expected CNA Staffing Hours per Resident per Day
2.48713
Expected LPN Staffing Hours per Resident per Day
0.75243
Expected RN Staffing Hours per Resident per Day
1.39414
Expected Total Nurse Staffing Hours per Resident per Day
4.63369
Adjusted CNA Staffing Hours per Resident per Day
2.59256
Adjusted LPN Staffing Hours per Resident per Day
0.85807
Adjusted RN Staffing Hours per Resident per Day
0.59525
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92885
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2012-10-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
8
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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