Pines Post Acute And Memory Care
Pines Post Acute And Memory Care Information
| Facility Name | Pines Post Acute And Memory Care |
| Location | 1625 E Main St, Clintonville, WI 54929 |
| County (SSA Code) | Waupaca (670) |
| Phone Number | 715-823-3135 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 50 |
| Average Number of Residents | 44 |
| 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 | CLOVERLEAF HEALTHCARE INC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1992-11-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.8859 |
| Reported LPN Staffing Hours per Resident per Day | 0.63126 |
| Reported RN Staffing - Hours per Resident per Day | 0.56863 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.19989 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.08579 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.09352 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.90289 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.7514 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.40197 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.05626 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.21899 |
| Total Weighted Health Survey Score for three cycles | 36 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-10 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 32 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-17 |
| Rating cycle 2 - Health Deficiency Score | 32 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-31 |
| Rating cycle 3 - Health Deficiency Score | 128 |
| Rating cycle 3 - Total Health Inspection Score | 128 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 18437 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |