GOLDEN LIVINGCENTER-THREE OAKS - MARSHFIELD, WI

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Address

209 WILDERNESS VIEW DRIVE
MARSHFIELD, WI, 54449

Phone (make sure to verify first before calling): (715) 389-6000

Number of Certified Beds: 110
Total Number of Residents: 101
Percent of Occupied Beds: 92%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
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: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 3.26
Certified Nurse Aides - Full Time: 22.80
Certified Nurse Aides - Part Time: 8.79
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 7.36
Food Service Personnel - Part Time: 0.71
Licensed Practical/ Vocational Nurses - Full Time: 7.57
Licensed Practical/ Vocational Nurses - Part Time: 0.33
Medical Directors - Under Contract: 0.06
Mental Health Services Personnel - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 2.87
Persons Not Included In Any Other Categories - Full Time: 4.09
Registered Nurses - Full Time: 8.77
Rn Director Of Nursing - Full Time: 1.14
Occupational Therapists - Part Time: 0.34
Housekeeping Personnel - Under Contract: 6.97
Other Physicians - Under Contract: 0.40
Dietitians - Full Time: 0.94
Sppech Pathologists - Full Time: 0.69
Registered Nurses - Part Time: 1.49
Occupational Therapists - Full Time: 1.91
Physical Therapists - Full Time: 1.29
Physical Therapy Aide - Full Time: 0.76
Speech Pathologists - Part Time: 0.26
Medication Aides/ Technicians - Part Time: 0.90
Medication Aides/ Technicians - Full Time: 2.41

Provided Services

Clinical Laboratory Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To 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
Podiatry 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

This Nursing Home:	1.200
Wisconsin:	0.887

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.180
State:	0.546

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.380
State:	1.429

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.050
Wisconsin:	0.074

Number Therapy Hours Per Resident Per Day

Here:	0.050
Wisconsin:	0.079

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	12.7%
Wisconsin:	15.6%

Percent of long-stay residents who self-report moderate to severe pain

Here:	7.2%
Wisconsin:	11.2%

Percent of long-stay high-risk residents with pressure ulcers

Here:	2.4%
State:	4.6%

Percent of long-stay residents who lose too much weight

Here:	10.0%
Wisconsin:	7.2%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	28.1%
Wisconsin:	45.0%

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

Here:	8.7%
State:	4.7%

Percent of long-stay residents with a urinary tract infection

Here:	8.3%
Wisconsin:	6.4%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	2.9%
Wisconsin:	6.9%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	5.4%
State:	3.4%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	97.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
Wisconsin:	98.4%

Percent of short-stay residents who self-report moderate to severe pain

Here:	7.6%
Wisconsin:	21.8%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	93.5%
Wisconsin:	92.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	93.7%
Wisconsin:	92.0%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	1.0%
Wisconsin:	1.8%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	25.7%
State:	18.8%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Minimal harm or potential for actual harm)

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

A properly installed and maintained dumbwaiter or escalator: Few (Minimal harm or potential for actual harm)

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Some (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)

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

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

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

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

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

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

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

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: 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 (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)

Signs that state that exit doors are to be kept closed: Few (Immediate jeopardy to resident health or safety)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

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

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Some (Minimal harm or potential for actual harm)

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

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

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Few (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: 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)

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

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Properly sized and located linen or trash receptacles: Some (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)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Some (Minimal harm or potential for actual harm)

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: 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)

Provide care by qualified persons according to each resident's written plan of care: 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)

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 residents with reduced range of motion get proper treatment and services to increase range of motion: 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 (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (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)

Properly located and lighted Exit signs: 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)

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