Pine Valley Community Village
Pine Valley Community Village Information
| Facility Name | Pine Valley Community Village |
| Location | 25951 Circle View Lane, Richland Center, WI 53581 |
| County (SSA Code) | Richland (510) |
| Phone Number | 608-647-2138 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 80 |
| Average Number of Residents | 68.3 |
| 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 | COUNTY OF RICHLAND |
| Ownership Type | Government - County |
| Date First Approved | 1984-08-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.45692 |
| Reported LPN Staffing Hours per Resident per Day | 0.58615 |
| Reported RN Staffing - Hours per Resident per Day | 0.81688 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.40303 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.85995 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05424 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.23355 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.77479 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.41127 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.41961 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.53105 |
| Total Weighted Health Survey Score for three cycles | 10.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-11 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 8 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-19 |
| Rating cycle 2 - Health Deficiency Score | 8 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-02-28 |
| 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 |