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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 Beds80
Average Number of Residents51.7
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameWISCONSIN ILLINOIS SENIOR HOUSING INC
Ownership TypeNon profit - Corporation
Date First Approved1983-04-07

Reported Nurse Aide Staffing Hours per Resident per Day2.51218
Reported LPN Staffing Hours per Resident per Day0.53946
Reported RN Staffing - Hours per Resident per Day1.03321
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 Day0.08599
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.1573
Case-Mix LPN Staffing - Hours per Resident per Day0.73831
Case-Mix RN Staffing - Hours per Resident per Day0.32077
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 cycles17.333
Rating cycle 1 Standard Survey Health Date2019-10-01
Rating cycle 1 - Health Deficiency Score4
Date of Rating cycle 2 Standard Health Survey Date2018-08-23
Date of Rating cycle 3 Standard Health Survey Date2017-11-09
Rating cycle 3 - Health Deficiency Score8
Rating cycle 3 - Total Health Inspection Score8

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

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