Shady Lane Nursing Care Center
Shady Lane Nursing Care Center Information
| Facility Name | Shady Lane Nursing Care Center |
| Location | 1235 S 24th St, Manitowoc, WI 54220 |
| County (SSA Code) | Manitowoc (350) |
| Phone Number | 920-682-8254 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 50 |
| Average Number of Residents | 39.6 |
| 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 | SHADY LANE HOME, INC. |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1995-10-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.15232 |
| Reported LPN Staffing Hours per Resident per Day | 0.46589 |
| Reported RN Staffing - Hours per Resident per Day | 1.40562 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.87151 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.02382 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.23183 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.27762 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72209 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30575 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.30545 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.84559 |
| Total Weighted Health Survey Score for three cycles | 10 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-13 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-03-13 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-01-10 |
| 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 |