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Wi Veterans Hm Ainsworth Hall


Wi Veterans Hm Ainsworth Hall Information

     
Facility Name Wi Veterans Hm Ainsworth Hall
Location N2665 Cty Rd Qq, King, WI 54946
County (SSA Code) Waupaca (670)
Phone Number 715-258-5586
Certification(s)Medicare and Medicaid
Number of Beds205
Average Number of Residents185.4
CCRC Facility? No
Medicare Overall Rating
Survey Rating
Quality Rating
Long Stay Quality Rating
Staff Quality Rating
Registered Nurse Quality Rating

Abuse Flag No
Sprinklers InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameSTATE OF WISCONSIN
Ownership TypeGovernment - State
Date First Approved2015-03-01

Reported Nurse Aide Staffing Hours per Resident per Day2.4418
Reported LPN Staffing Hours per Resident per Day0.57387
Reported RN Staffing - Hours per Resident per Day0.90649
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.48036
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.92216
Reported Physical Therapy Staffing - Hours per Resident Per Day0.0125
Case-Mix Nurse Aide Staffing - Hours per Resident per Day1.87079
Case-Mix LPN Staffing - Hours per Resident per Day0.63817
Case-Mix RN Staffing - Hours per Resident per Day0.27799
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)2.78695
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.48683

Total Weighted Health Survey Score for three cycles12.667
Rating cycle 1 Standard Survey Health Date2020-02-27
Rating cycle 1 - Health Deficiency Score5
Date of Rating cycle 2 Standard Health Survey Date2019-04-17
Date of Rating cycle 3 Standard Health Survey Date2018-02-21
Rating cycle 3 - Health Deficiency Score4
Rating cycle 3 - Total Health Inspection Score4

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

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