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Edenbrook Of Fond Du Lac


Edenbrook Of Fond Du Lac Information

     
Facility Name Edenbrook Of Fond Du Lac
Location 265 S National Ave, Fond Du Lac, WI 54935
County (SSA Code) Fond Du Lac (190)
Phone Number 920-922-7342
Certification(s)Medicare and Medicaid
Number of Beds90
Average Number of Residents52.7
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 CouncilBoth

Provider Business NameFOND DU LAC NURSING AND REHAB, LLC
Ownership TypeFor profit - Corporation
Date First Approved1976-12-01

Reported Nurse Aide Staffing Hours per Resident per Day2.18857
Reported LPN Staffing Hours per Resident per Day0.58467
Reported RN Staffing - Hours per Resident per Day0.79158
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.37625
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.56482
Reported Physical Therapy Staffing - Hours per Resident Per Day0.06927
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.17924
Case-Mix LPN Staffing - Hours per Resident per Day0.80531
Case-Mix RN Staffing - Hours per Resident per Day0.44459
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.42914
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.31433

Total Weighted Health Survey Score for three cycles63.333
Rating cycle 1 Standard Survey Health Date2019-12-17
Rating cycle 1 - Health Deficiency Score28
Rating cycle 1 - Total Health Inspection Score20
Date of Rating cycle 2 Standard Health Survey Date2018-12-17
Rating cycle 2 - Health Deficiency Score20
Date of Rating cycle 3 Standard Health Survey Date2017-10-05
Rating cycle 3 - Health Deficiency Score4
Rating cycle 3 - Total Health Inspection Score4

Number of Facility-Reported Incidents0
Number of Substantiated Complaints6
Number of Substantiated Complaints6
Total Number of Penalties0

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