Alden Estates Of Countryside, Inc
Alden Estates Of Countryside, Inc Information
| Facility Name | Alden Estates Of Countryside, Inc |
| Location | 1130 Collins Road, Jefferson, WI 53549 |
| County (SSA Code) | Jefferson (270) |
| Phone Number | 920-674-3170 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 111 |
| Average Number of Residents | 96 |
| 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 | ALDEN ESTATES OF COUNTRYSIDE, INC. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1978-03-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.1388 |
| Reported LPN Staffing Hours per Resident per Day | 0.58428 |
| Reported RN Staffing - Hours per Resident per Day | 0.84194 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.42622 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.56502 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06889 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1506 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.79328 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.35988 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.30376 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.44031 |
| Total Weighted Health Survey Score for three cycles | 198.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-01 |
| Rating cycle 1 - Health Deficiency Score | 12 |
| Rating cycle 1 - Total Health Inspection Score | 444 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-23 |
| Rating cycle 2 - Health Deficiency Score | 444 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-01 |
| Rating cycle 3 - Health Deficiency Score | 124 |
| Rating cycle 3 - Total Health Inspection Score | 124 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 22 |
| Number of Substantiated Complaints | 22 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 168195 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |