HERITAGE MANOR - ELROY, WI

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Address

307 ROYALL AVE PO BOX 167
ELROY, WI, 53929

Phone (make sure to verify first before calling): (608) 462-8491

Number of Certified Beds: 76
Total Number of Residents: 70
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: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 3 Stars

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Offsite 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 Offsite 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 Residents
Physician Extender Services Are Provided Offsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 3.44
Certified Nurse Aides - Full Time: 17.49
Certified Nurse Aides - Part Time: 16.14
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 1.16
Food Service Personnel - Part Time: 6.76
Housekeeping Personnel - Full Time: 2.21
Licensed Practical/ Vocational Nurses - Full Time: 3.46
Licensed Practical/ Vocational Nurses - Part Time: 2.36
Medical Directors - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 1.03
Persons Not Included In Any Other Categories - Full Time: 1.06
Registered Nurses - Full Time: 6.09
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Pharmacists - Under Contract: 0.11
Dietitians - Full Time: 1.14
Persons Not Included In Any Other Categories - Part Time: 1.04
Registered Nurses - Part Time: 1.46
Housekeeping Personnel - Part Time: 2.94

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.710
Wisconsin:	0.887

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

This Nursing Home:	0.360
Wisconsin:	0.546

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.070
State:	1.429

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.040
Wisconsin:	0.074

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.040
Wisconsin:	0.079

Quality Measures

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

This Nursing Home:	4.0%
State:	15.6%

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

This Nursing Home:	6.6%
State:	11.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	3.3%
State:	7.2%

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

This Nursing Home:	11.9%
Wisconsin:	4.7%

Percent of long-stay residents with a urinary tract infection

Here:	18.0%
Wisconsin:	6.4%

Percent of long-stay residents who have depressive symptoms

Here:	5.0%
State:	6.9%

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

This Nursing Home:	3.2%
State:	3.4%

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

This Nursing Home:	100.0%
Wisconsin:	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:	10.3%
State:	21.8%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	2.2%
Wisconsin:	1.6%

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

This Nursing Home:	100.0%
Wisconsin:	92.1%

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

This Nursing Home:	100.0%
State:	92.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	15.4%
Wisconsin:	18.8%

Complaint Deficiency

Signs that state that exit doors are to be kept closed: Few (Actual harm)

Corridor and hallway doors that block smoke: 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: 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 (Actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Few (Immediate jeopardy to resident health or safety)

A two-hour-resistant firewall in common walls: Some (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: 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)

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

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)

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)

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)

Provide activities to meet the interests and needs of each resident: Some (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: 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)

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: Some (Minimal harm or potential for actual harm)

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

Have a program that investigates, controls and keeps infection from spreading: 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)

Determine if it is safe for the resident to self-administer drugs: 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: Few (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (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)

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)

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

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

Restrictions on the use of flammable curtains: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Potential for minimal harm)

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