Shell Lake Health Care Center
Shell Lake Health Care Center Information
| Facility Name | Shell Lake Health Care Center |
| Location | 802 E Cty Hwy B, Shell Lake, WI 54871 |
| County (SSA Code) | Washburn (640) |
| Phone Number | 715-468-7292 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 50 |
| Average Number of Residents | 34.9 |
| 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 | Both |
| Provider Business Name | PREMIER HEALTH CARE MANAGEMENT OF SHELL LAKE LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1994-11-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.4937 |
| Reported LPN Staffing Hours per Resident per Day | 0.57632 |
| Reported RN Staffing - Hours per Resident per Day | 0.91816 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.49449 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.98819 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.09719 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.66822 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30435 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.06975 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.14206 |
| Total Weighted Health Survey Score for three cycles | 14.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-14 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-11 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-07 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| 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 |