Tivoli At Divine Savior Healthcare
Tivoli At Divine Savior Healthcare Information
| Facility Name | Tivoli At Divine Savior Healthcare |
| Location | 2805 Hunters Trail, Portage, WI 53901 |
| County (SSA Code) | Columbia (100) |
| Phone Number | 608-745-5900 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 83 |
| Average Number of Residents | 61.5 |
| 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 | Yes |
| Resident Family Council | Resident |
| Provider Business Name | DIVINE SAVIOR HEALTHCARE INC |
| Ownership Type | Non profit - Church related |
| Date First Approved | 1993-07-24 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.88431 |
| Reported LPN Staffing Hours per Resident per Day | 0.48848 |
| Reported RN Staffing - Hours per Resident per Day | 1.35564 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.84412 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.72843 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.09082 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.97167 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.67466 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.33725 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.98358 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.05269 |
| Total Weighted Health Survey Score for three cycles | 17.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-27 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-12-20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-11 |
| Rating cycle 3 - Health Deficiency Score | 80 |
| Rating cycle 3 - Total Health Inspection Score | 80 |
| 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 |