Odd Fellow Home
Odd Fellow Home Information
| Facility Name | Odd Fellow Home |
| Location | 1229 S Jackson St, Green Bay, WI 54301 |
| County (SSA Code) | Brown (40) |
| Phone Number | 920-437-6523 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 88 |
| Average Number of Residents | 65.2 |
| 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 | ODD FELLOW REBEKAH HOME ASSOCIATION INC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1995-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.05269 |
| Reported LPN Staffing Hours per Resident per Day | 0.63404 |
| Reported RN Staffing - Hours per Resident per Day | 1.61682 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.25086 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.30355 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06968 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.24121 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.81404 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.39536 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.45062 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.9002 |
| Total Weighted Health Survey Score for three cycles | 78.167 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-17 |
| Rating cycle 1 - Health Deficiency Score | 14 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-19 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-07-20 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 4 |
| Number of Substantiated Complaints | 4 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 14596 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |