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Evansville Manor Nursing And Rehab, Llc


Evansville Manor Nursing And Rehab, Llc Information

     
Facility Name Evansville Manor Nursing And Rehab, Llc
Location 470 Garfield Ave, Evansville, WI 53536
County (SSA Code) Rock (520)
Phone Number 608-882-5700
Certification(s)Medicare and Medicaid
Number of Beds71
Average Number of Residents50.6
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 CouncilNone

Provider Business NameEVANSVILLE MANOR NURSING AND REHAB, LLC
Ownership TypeFor profit - Corporation
Date First Approved1988-09-06

Reported Nurse Aide Staffing Hours per Resident per Day2.52857
Reported LPN Staffing Hours per Resident per Day0.70136
Reported RN Staffing - Hours per Resident per Day0.93016
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.63152
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.16009
Reported Physical Therapy Staffing - Hours per Resident Per Day0.09529
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.21834
Case-Mix LPN Staffing - Hours per Resident per Day0.80723
Case-Mix RN Staffing - Hours per Resident per Day0.40348
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.42905
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.86787

Total Weighted Health Survey Score for three cycles84.667
Rating cycle 1 Standard Survey Health Date2019-03-12
Rating cycle 1 - Health Deficiency Score18
Rating cycle 1 - Total Health Inspection Score96
Date of Rating cycle 2 Standard Health Survey Date2017-12-01
Rating cycle 2 - Health Deficiency Score64
Date of Rating cycle 3 Standard Health Survey Date2016-10-11
Rating cycle 3 - Health Deficiency Score28
Rating cycle 3 - Total Health Inspection Score28

Number of Facility-Reported Incidents0
Number of Substantiated Complaints15
Number of Substantiated Complaints15
Number of Fines1
Total Amount of Fines (in Dollars)7803
Total Number of Penalties1

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