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Fond Du Lac Lutheran Home


Fond Du Lac Lutheran Home Information

     
Facility Name Fond Du Lac Lutheran Home
Location 244 N Macy St, Fond Du Lac, WI 54935
County (SSA Code) Fond Du Lac (190)
Phone Number 920-921-9520
Certification(s)Medicare and Medicaid
Number of Beds85
Average Number of Residents56.1
CCRC Facility? Yes
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 NameFOND DU LAC LUTHERAN HOME, INC.
Ownership TypeNon profit - Corporation
Date First Approved2000-01-01

Reported Nurse Aide Staffing Hours per Resident per Day1.73682
Reported LPN Staffing Hours per Resident per Day0.06714
Reported RN Staffing - Hours per Resident per Day1.2889
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.35605
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.09286
Reported Physical Therapy Staffing - Hours per Resident Per Day0.05543
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.04415
Case-Mix LPN Staffing - Hours per Resident per Day0.76044
Case-Mix RN Staffing - Hours per Resident per Day0.37115
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.17574
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.10498

Total Weighted Health Survey Score for three cycles138.667
Rating cycle 1 Standard Survey Health Date2019-06-25
Rating cycle 1 - Health Deficiency Score24
Rating cycle 1 - Total Health Inspection Score168
Date of Rating cycle 2 Standard Health Survey Date2018-08-09
Rating cycle 2 - Health Deficiency Score168
Date of Rating cycle 3 Standard Health Survey Date2017-06-22
Rating cycle 3 - Health Deficiency Score88
Rating cycle 3 - Total Health Inspection Score88

Number of Facility-Reported Incidents2
Number of Substantiated Complaints20
Number of Substantiated Complaints20
Total Number of Penalties0

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