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 Beds | 71 |
| Average Number of Residents | 50.6 |
| 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 Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | None |
| Provider Business Name | EVANSVILLE MANOR NURSING AND REHAB, LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1988-09-06 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.52857 |
| Reported LPN Staffing Hours per Resident per Day | 0.70136 |
| Reported RN Staffing - Hours per Resident per Day | 0.93016 |
| 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 Day | 0.09529 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.21834 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.80723 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.40348 |
| 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 cycles | 84.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-12 |
| Rating cycle 1 - Health Deficiency Score | 18 |
| Rating cycle 1 - Total Health Inspection Score | 96 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-12-01 |
| Rating cycle 2 - Health Deficiency Score | 64 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-11 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 15 |
| Number of Substantiated Complaints | 15 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 7803 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |