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FRANCISCAN VILLA - SOUTH MILWAUKEE, WI

 



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Address
3601 S CHICAGO AVE
SOUTH MILWAUKEE, WI, 53172
Phone (make sure to verify first before calling): (414) 764-4100

Number of Certified Beds: 146
Total Number of Residents: 130
Percent of Occupied Beds: 89%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 2 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.34
Certified Nurse Aides - Full Time: 27.67
Certified Nurse Aides - Part Time: 23.97
Food Service Personnel - Full Time: 11.03
Food Service Personnel - Part Time: 7.34
Housekeeping Personnel - Full Time: 20.04
Licensed Practical/ Vocational Nurses - Full Time: 8.89
Licensed Practical/ Vocational Nurses - Part Time: 7.86
Medical Directors - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 3.27
Persons Not Included In Any Other Categories - Full Time: 16.83
Physical Therapists - Under Contract: 1.40
Registered Nurses - Full Time: 8.77
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 3.31
Activities Professionals - Full Time: 3.33
Occupational Therapists - Under Contract: 3.44
Pharmacists - Under Contract: 0.01
Administrative Staff - Under Contract: 1.14
Speech Pathologists - Under Contract: 0.60
Dietitians - Full Time: 1.14
Persons Not Included In Any Other Categories - Part Time: 8.06
Registered Nurses - Part Time: 2.86
Occupational Therapy Assistants - Under Contract: 0.24
Housekeeping Personnel - Part Time: 5.63
Occupational Therapy Aides - Under Contract: 1.74
Medication Aides/ Technicians - Full Time: 1.03

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Non Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Non Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.770
State:

0.887
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.510
Wisconsin:

0.546
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.280
Wisconsin:

1.429
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.080
Wisconsin:

0.074
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.080
State:

0.079

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

9.1%
Wisconsin:

15.6%
Percent of long-stay residents who self-report moderate to severe pain
Here:

12.2%
Wisconsin:

11.2%
Percent of long-stay high-risk residents with pressure ulcers
Here:

9.3%
State:

4.6%
Percent of long-stay residents who lose too much weight
This Nursing Home:

19.0%
State:

7.2%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

78.4%
Wisconsin:

45.0%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

8.2%
State:

4.7%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

4.0%
State:

6.4%
Percent of long-stay residents who have depressive symptoms
Here:

18.8%
Wisconsin:

6.9%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
Wisconsin:

97.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

98.0%
State:

98.4%
Percent of short-stay residents who self-report moderate to severe pain
Here:

17.7%
State:

21.8%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

4.8%
Wisconsin:

1.6%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

98.6%
State:

92.1%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

95.3%
State:

92.0%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

19.2%
State:

18.8%

Complaint Deficiency

Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Immediate jeopardy to resident health or safety)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Few (Immediate jeopardy to resident health or safety)

Give each resident enough fluids to keep them healthy and prevent dehydration: Some (Actual harm)

Make sure that doctors visit residents regularly, as required: Few (Minimal harm or potential for actual harm)

Make sure medically necessary lab services/tests are ordered by the attending physician: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Some (Minimal harm or potential for actual harm)

An approved back-up procedure for a faulty fire alarm system: Many (Potential for minimal harm)

Properly installed hallway dispensers for alcohol-based hand rub: Some (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Potential for minimal harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Rooms that can be unlocked from inside without a key: Some (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Potential for minimal harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

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