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Ccc Of Pewaukee


Ccc Of Pewaukee Information

     
Facility Name Ccc Of Pewaukee
Location N26 W23977 Watertown Rd, Waukesha, WI 53188
County (SSA Code) Waukesha (660)
Phone Number 262-523-0933
Certification(s)Medicare and Medicaid
Number of Beds120
Average Number of Residents104.9
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameCCC OF PEWAUKEE LLC
Ownership TypeFor profit - Corporation
Date First Approved1998-07-28

Reported Nurse Aide Staffing Hours per Resident per Day2.08841
Reported LPN Staffing Hours per Resident per Day0.76996
Reported RN Staffing - Hours per Resident per Day0.69825
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.46821
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.55662
Reported Physical Therapy Staffing - Hours per Resident Per Day0.0951
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.16011
Case-Mix LPN Staffing - Hours per Resident per Day0.80012
Case-Mix RN Staffing - Hours per Resident per Day0.40422
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.36444
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.3703

Total Weighted Health Survey Score for three cycles64.167
Rating cycle 1 Standard Survey Health Date2019-08-29
Rating cycle 1 - Health Deficiency Score10
Date of Rating cycle 2 Standard Health Survey Date2018-06-14
Date of Rating cycle 3 Standard Health Survey Date2017-04-12
Rating cycle 3 - Health Deficiency Score16
Rating cycle 3 - Total Health Inspection Score16

Number of Facility-Reported Incidents0
Number of Substantiated Complaints4
Number of Substantiated Complaints4
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28