Wisconsin Nursing Homes >> Suring Nursing Homes >> Woodland Village Nursing Home

Woodland Village Nursing Home - Suring Nursing Home

General Information

UPDATE
Federal Provider Number
525363
Provider Name
WOODLAND VILLAGE NURSING HOME
Provider Address
430 MANOR DR
SURING, WI 54174
Provider Phone Number
(920) 842-2191
Provider SSA County
410
Provider County Name
Oconto
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODLAND VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.49773
Reported LPN Staffing Hours per Resident per Day
0.77841
Reported RN Staffing Hours per Resident per Day
0.51818
Reported Licensed Staffing Hours per Resident per Day
1.29659
Reported Total Nurse Staffing Hours per Resident per Day
3.79432
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01136
Expected CNA Staffing Hours per Resident per Day
2.45518
Expected LPN Staffing Hours per Resident per Day
0.64375
Expected RN Staffing Hours per Resident per Day
0.86236
Expected Total Nurse Staffing Hours per Resident per Day
3.96129
Adjusted CNA Staffing Hours per Resident per Day
2.49622
Adjusted LPN Staffing Hours per Resident per Day
1.00362
Adjusted RN Staffing Hours per Resident per Day
0.44898
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86100
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
0.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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