Woodlands Of Oconto - Oconto Nursing Home
General Information
UPDATEFederal Provider Number
525670
Provider Name
WOODLANDS OF OCONTO
Provider Address
101 FIRST ST
OCONTO, WI 54153
OCONTO, WI 54153
Provider Phone Number
(920) 834-4575
Provider SSA County
410
Provider County Name
Oconto
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
45
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODLANDS OF OCONTO INC
Date First Approved to Provide Medicare and Medicaid services
2003-12-16
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
5
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
2.50833
Reported LPN Staffing Hours per Resident per Day
0.30238
Reported RN Staffing Hours per Resident per Day
0.48690
Reported Licensed Staffing Hours per Resident per Day
0.78929
Reported Total Nurse Staffing Hours per Resident per Day
3.29761
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.29994
Expected LPN Staffing Hours per Resident per Day
0.54941
Expected RN Staffing Hours per Resident per Day
0.79787
Expected Total Nurse Staffing Hours per Resident per Day
3.64722
Adjusted CNA Staffing Hours per Resident per Day
2.67602
Adjusted LPN Staffing Hours per Resident per Day
0.45681
Adjusted RN Staffing Hours per Resident per Day
0.45598
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64452
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-02-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
32
Cycle 3 Standard Health Survey Date
2013-01-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
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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