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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 Beds105
Average Number of Residents82.2
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameCCC OF WEST GREEN BAY
Ownership TypeFor profit - Limited Liability company
Date First Approved1970-06-16

Reported Nurse Aide Staffing Hours per Resident per Day1.76513
Reported LPN Staffing Hours per Resident per Day0.84587
Reported RN Staffing - Hours per Resident per Day0.63823
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 Day0.05415
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.12251
Case-Mix LPN Staffing - Hours per Resident per Day0.84263
Case-Mix RN Staffing - Hours per Resident per Day0.42405
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 cycles22
Rating cycle 1 Standard Survey Health Date2019-06-11
Rating cycle 1 - Health Deficiency Score1
Rating cycle 1 - Total Health Inspection Score56
Date of Rating cycle 2 Standard Health Survey Date2018-04-26
Rating cycle 2 - Health Deficiency Score56
Date of Rating cycle 3 Standard Health Survey Date2017-03-08
Rating cycle 3 - Health Deficiency Score8
Rating cycle 3 - Total Health Inspection Score8

Number of Facility-Reported Incidents0
Number of Substantiated Complaints3
Number of Substantiated Complaints3
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28