Edenbrook Lakeside
Edenbrook Lakeside Information
| Facility Name | Edenbrook Lakeside |
| Location | 2115 E Woodstock Pl, Milwaukee, WI 53202 |
| County (SSA Code) | Milwaukee (390) |
| Phone Number | 414-271-1020 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 130 |
| Average Number of Residents | 86.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Special Focus Status | SFF Candidate |
| Abuse Flag | Yes |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | LAKE TERRACE NURSING AND REHAB LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1982-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.20215 |
| Reported LPN Staffing Hours per Resident per Day | 1.07871 |
| Reported RN Staffing - Hours per Resident per Day | 0.52874 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.60745 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.8096 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.10233 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.28344 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.79225 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.49335 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.56904 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.40308 |
| Total Weighted Health Survey Score for three cycles | 582.167 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-17 |
| Rating cycle 1 - Health Deficiency Score | 38 |
| Rating cycle 1 - Total Health Inspection Score | 80 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-21 |
| Rating cycle 2 - Health Deficiency Score | 80 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-20 |
| Rating cycle 3 - Health Deficiency Score | 240 |
| Rating cycle 3 - Total Health Inspection Score | 240 |
| Number of Facility-Reported Incidents | 4 |
| Number of Substantiated Complaints | 22 |
| Number of Substantiated Complaints | 22 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 76128 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |