Ingleside Manor
Ingleside Manor Information
| Facility Name | Ingleside Manor |
| Location | 407 N Eighth St, Mount Horeb, WI 53572 |
| County (SSA Code) | Dane (120) |
| Phone Number | 608-437-5511 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 80 |
| Average Number of Residents | 51.7 |
| CCRC Facility? | Yes |
| 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 | WISCONSIN ILLINOIS SENIOR HOUSING INC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1983-04-07 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.51218 |
| Reported LPN Staffing Hours per Resident per Day | 0.53946 |
| Reported RN Staffing - Hours per Resident per Day | 1.03321 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.57267 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.08485 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.08599 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1573 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.73831 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.32077 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.21638 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.04904 |
| Total Weighted Health Survey Score for three cycles | 17.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-10-01 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-23 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-09 |
| 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 | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |