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LAKEVIEW HEALTH CENTER - WEST SALEM, WI

 



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Address
902 E GARLAND ST
WEST SALEM, WI, 54669
Phone (make sure to verify first before calling): (608) 786-1400

Number of Certified Beds: 143
Total Number of Residents: 118
Percent of Occupied Beds: 83%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicaid
Type of Ownership: Government - County
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Nursing Facilities


Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.71
Administrative Staff - Part Time: 0.67
Certified Nurse Aides - Full Time: 43.54
Certified Nurse Aides - Part Time: 11.56
Food Service Personnel - Full Time: 8.00
Food Service Personnel - Part Time: 10.29
Housekeeping Personnel - Full Time: 10.34
Licensed Practical/ Vocational Nurses - Full Time: 9.24
Licensed Practical/ Vocational Nurses - Part Time: 2.97
Medical Directors - Under Contract: 0.04
Nurses With Administrative Duties - Full Time: 0.86
Persons Not Included In Any Other Categories - Full Time: 13.41
Physical Therapists - Under Contract: 1.26
Registered Nurses - Full Time: 11.29
Rn Director Of Nursing - Full Time: 0.77
Activities Professionals - Full Time: 1.09
Dentists - Under Contract: 0.06
Dietitians - Part Time: 0.91
Nurses With Administrative Duties - Part Time: 0.37
Occupational Therapists - Under Contract: 0.87
Speech Pathologists - Under Contract: 0.44
Other Physicians - Under Contract: 0.27
Physician Extenders - Under Contract: 0.23
Registered Nurses - Under Contract: 1.01
Persons Not Included In Any Other Categories - Part Time: 8.89
Registered Nurses - Part Time: 6.99
Social Workers - Part Time: 2.79
Housekeeping Personnel - Part Time: 2.73
Licensed Practical/ Vocational Nurses - Under Contract: 0.39
Certified Nurse Aides - Under Contract: 4.46
Medication Aides/ Technicians - Part Time: 0.74

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 Offsite To Residents
  • Dietary Services Are Provided Onsite To Non Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite 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
  • 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
  • Vocational Services Are Provided Onsite To Non Residents
  • Vocational Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.650
State:

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

0.610
State:

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

1.260
Wisconsin:

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

0.030
Wisconsin:

0.074
Number Therapy Hours Per Resident Per Day
Here:

0.030
Wisconsin:

0.079

Quality Measures

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

16.7%
State:

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

15.0%
Wisconsin:

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

6.5%
State:

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

8.9%
Wisconsin:

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

22.4%
Wisconsin:

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

4.1%
Wisconsin:

4.7%
Percent of long-stay residents with a urinary tract infection
Here:

4.5%
Wisconsin:

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

11.3%
Wisconsin:

6.9%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

10.6%
Wisconsin:

3.4%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

98.2%
State:

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

98.2%
Wisconsin:

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

41.4%
State:

21.8%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

90.0%
Wisconsin:

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

84.8%
State:

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

71.1%
Wisconsin:

18.8%

Complaint Deficiency

Proper stairway enclosures and vertical shafts: Some (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)

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

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Approved construction type or materials: Some (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 (Actual harm)

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

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

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

Post nurse staffing information/data on a daily basis: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Back-up procedures in place for a faulty automatic sprinkler system: Few (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: Some (Minimal harm or potential for actual harm)

Provide special eating equipment and utensils for each resident who needs them: Some (Minimal harm or potential for actual harm)

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

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (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)

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

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

Tell the resident completely about his or her health status, care and treatments: 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)

Try to resolve each resident's complaints quickly: 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)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: 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: Some (Actual harm)

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

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

Provide housekeeping and maintenance services: Some (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 necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

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 (Minimal harm or potential for actual harm)

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

Develop policies and procedures for influenza and pneumococcal immunizations: Many (Potential for minimal harm)

Post nurse staffing information/data on a daily basis: Many (Potential for minimal harm)

Store, cook, and serve food in a safe and clean way: 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)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Some (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (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)

Be administered in an acceptable way that maintains the well-being of each resident : Many (Minimal harm or potential for actual harm)

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

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

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)

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

Proper stairway enclosures and vertical shafts: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

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

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