Woodlands Of Gillett - Gillett Nursing Home
General Information
UPDATEFederal Provider Number
525661
Provider Name
WOODLANDS OF GILLETT
Provider Address
330 ROBIN HOOD LN
GILLETT, WI 54124
GILLETT, WI 54124
Provider Phone Number
(920) 855-2136
Provider SSA County
410
Provider County Name
Oconto
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
35
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2001-03-15
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
4
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
2.68000
Reported LPN Staffing Hours per Resident per Day
0.48833
Reported RN Staffing Hours per Resident per Day
0.66500
Reported Licensed Staffing Hours per Resident per Day
1.15333
Reported Total Nurse Staffing Hours per Resident per Day
3.83333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.25282
Expected LPN Staffing Hours per Resident per Day
0.62409
Expected RN Staffing Hours per Resident per Day
0.82554
Expected Total Nurse Staffing Hours per Resident per Day
3.70245
Adjusted CNA Staffing Hours per Resident per Day
2.91897
Adjusted LPN Staffing Hours per Resident per Day
0.64945
Adjusted RN Staffing Hours per Resident per Day
0.60189
Adjusted Total Nurse Staffing Hours per Resident per Day
4.17339
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
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
16
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
44.00000
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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