Ccc Of West Green Bay
Ccc Of West Green Bay Information
| Facility Name | Ccc Of West Green Bay |
| Location | 1760 Shawano Ave, Green Bay, WI 54303 |
| County (SSA Code) | Brown (40) |
| Phone Number | 920-499-5191 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 105 |
| Average Number of Residents | 82.2 |
| 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 | CCC OF WEST GREEN BAY |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1970-06-16 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.76513 |
| Reported LPN Staffing Hours per Resident per Day | 0.84587 |
| Reported RN Staffing - Hours per Resident per Day | 0.63823 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.4841 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.24923 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05415 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.12251 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.84263 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.42405 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.38918 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.05654 |
| Total Weighted Health Survey Score for three cycles | 22 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-11 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 56 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-26 |
| Rating cycle 2 - Health Deficiency Score | 56 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-08 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |