Heartland Country Village
Heartland Country Village Information
| Facility Name | Heartland Country Village |
| Location | 634 Center St, Black Earth, WI 53515 |
| County (SSA Code) | Dane (120) |
| Phone Number | 608-767-2572 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 50 |
| Average Number of Residents | 29.9 |
| 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 | TROUSDALE FOUNDATION INC. BENCHMARK HEALTHCARE OF DANE COUNTY |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1993-10-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.0759 |
| Reported LPN Staffing Hours per Resident per Day | 1.24293 |
| Reported RN Staffing - Hours per Resident per Day | 0.47458 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.71751 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.79341 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.10235 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.69839 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.31592 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.11666 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.88046 |
| Total Weighted Health Survey Score for three cycles | 36.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-14 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 80 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-01-31 |
| Rating cycle 2 - Health Deficiency Score | 80 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-12-15 |
| Rating cycle 3 - Health Deficiency Score | 12 |
| Rating cycle 3 - Total Health Inspection Score | 12 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 5 |
| Number of Substantiated Complaints | 5 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |