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American Lutheran Home-mondovi


American Lutheran Home-mondovi Information

     
Facility Name American Lutheran Home-mondovi
Location 200 Memorial Dr, Mondovi, WI 54755
County (SSA Code) Buffalo (50)
Phone Number 715-926-4962
Certification(s)Medicare and Medicaid
Number of Beds35
Average Number of Residents26.4
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 CouncilResident

Provider Business NameAMERICAN LUTHERAN HOMES, INC.
Ownership TypeFor profit - Corporation
Date First Approved1985-04-01

Reported Nurse Aide Staffing Hours per Resident per Day2.53394
Reported LPN Staffing Hours per Resident per Day0.54479
Reported RN Staffing - Hours per Resident per Day1.23521
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.78
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.31394
Reported Physical Therapy Staffing - Hours per Resident Per Day0.01893
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.09994
Case-Mix LPN Staffing - Hours per Resident per Day0.69753
Case-Mix RN Staffing - Hours per Resident per Day0.2889
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.08637
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.45625

Total Weighted Health Survey Score for three cycles18.667
Rating cycle 1 Standard Survey Health Date2019-11-06
Rating cycle 1 - Health Deficiency Score7
Rating cycle 1 - Total Health Inspection Score4
Date of Rating cycle 2 Standard Health Survey Date2019-01-17
Rating cycle 2 - Health Deficiency Score4
Date of Rating cycle 3 Standard Health Survey Date2017-12-06
Rating cycle 3 - Health Deficiency Score20
Rating cycle 3 - Total Health Inspection Score20

Number of Facility-Reported Incidents0
Number of Substantiated Complaints2
Number of Substantiated Complaints2
Total Number of Penalties0

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