Woodside Lutheran Home
Woodside Lutheran Home Information
| Facility Name | Woodside Lutheran Home |
| Location | 1040 Pilgrim Way, Green Bay, WI 54304 |
| County (SSA Code) | Brown (40) |
| Phone Number | 920-499-1481 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 130 |
| Average Number of Residents | 111.1 |
| 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 |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | BAY AREA LUTHERAN HOMES INC |
| Ownership Type | Non profit - Church related |
| Date First Approved | 1995-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.8443 |
| Reported LPN Staffing Hours per Resident per Day | 0.52992 |
| Reported RN Staffing - Hours per Resident per Day | 1.35518 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.8851 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.7294 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.07309 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.18483 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72986 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30045 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.21514 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.68974 |
| Total Weighted Health Survey Score for three cycles | 30 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-19 |
| Rating cycle 1 - Health Deficiency Score | 9 |
| Rating cycle 1 - Total Health Inspection Score | 4 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-03-27 |
| Rating cycle 2 - Health Deficiency Score | 4 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-01-10 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |