MIDDLETON VILLAGE NUR REHAB - MIDDLETON, WI

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MIDDLETON VILLAGE NUR REHAB
6201 ELMWOOD AVE
MIDDLETON, WI, 53562

Phone (make sure to verify first before calling): (608) 831-8300

Number of Certified Beds: 97
Total Number of Residents: 87
Percent of Occupied Beds: 90%
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: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Certified Nurse Aides - Full Time: 22.63
Certified Nurse Aides - Part Time: 2.69
Food Service Personnel - Full Time: 5.81
Food Service Personnel - Part Time: 1.27
Licensed Practical/ Vocational Nurses - Full Time: 10.50
Licensed Practical/ Vocational Nurses - Part Time: 0.89
Medical Directors - Under Contract: 0.14
Nurses With Administrative Duties - Full Time: 7.30
Physical Therapists - Under Contract: 2.56
Registered Nurses - Full Time: 4.23
Rn Director Of Nursing - Full Time: 1.14
Occupational Therapists - Under Contract: 3.17
Speech Pathologists - Under Contract: 1.34
Dietitians - Full Time: 1.31
Registered Nurses - Part Time: 1.24
Occupational Therapy Assistants - Under Contract: 3.23
Social Workers - Part Time: 2.03
Physical Therapy Aide - Under Contract: 0.49
Medication Aides/ Technicians - Full Time: 1.80

Provided Services

Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Non 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 Extender 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:	1.150
Wisconsin:	0.851

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

This Nursing Home:	0.380
State:	0.596

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.530
Wisconsin:	1.446

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	2.280
State:	2.526

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

Here:	96.0%
Wisconsin:	94.8%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	90.0%
Wisconsin:	95.7%

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

This Nursing Home:	11.0%
State:	13.7%

Percent of long-stay residents who have moderate to severe pain

This Nursing Home:	7.0%
State:	3.6%

Percent of high-risk long-stay residents who have pressure sores

Here:	8.0%
State:	8.1%

Percent of long-stay residents who are more depressed or anxious

Here:	18.0%
Wisconsin:	17.2%

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

This Nursing Home:	35.0%
State:	50.1%

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

Here:	9.0%
State:	6.5%

Percent of long-stay residents who spend most of their time in bed or in a chair

Here:	2.0%
Wisconsin:	1.9%

Percent of long-stay residents whose ability to move about in and around their room got worse

This Nursing Home:	6.0%
State:	10.5%

Percent of long-stay residents who had a urinary tract infection

This Nursing Home:	8.0%
Wisconsin:	8.4%

Percent of long-stay residents who lose too much weight

Here:	7.0%
Wisconsin:	7.5%

Percent of short-stay residents given influenza vaccination during the flu season

Here:	93.0%
State:	91.0%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	93.0%
State:	91.2%

Percent of short-stay residents who have delirium

This Nursing Home:	1.0%
Wisconsin:	1.4%

Percent of short-stay residents who had moderate to severe pain

Here:	30.0%
Wisconsin:	26.9%

Percent of short-stay residents who have pressure sores

This Nursing Home:	10.0%
State:	9.4%

Complaint Deficiency

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

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

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects: Isolated (Minimal harm or potential for actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Minimal harm or potential for actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Actual harm)

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

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

1) Hire only people who have 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: Pattern (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Pattern (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Actual harm)

Keep accurate and appropriate medical records: Pattern (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Pattern (Minimal harm or potential for actual harm)

1) Hire only people who have 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: Pattern (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Pattern (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, unless it is necessary: Isolated (Minimal harm or potential for actual harm)

Store, cook, and give out food in a safe and clean way: Widespread (Minimal harm or potential for actual harm)

Have a program to keep infection from spreading: Isolated (Minimal harm or potential for actual harm)

Have a program to keep infection from spreading: Isolated (Minimal harm or potential for actual harm)

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Minimal harm or potential for actual harm)

Provide food in a way that meets a resident's needs: Isolated (Minimal harm or potential for actual harm)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (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: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Minimal harm or potential for actual harm)

Keep safe, clean and homelike surroundings: Isolated (Minimal harm or potential for actual harm)

Make a complete assessment that covers all questions for areas that are listed in official regulations: Isolated (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Isolated (Minimal harm or potential for actual harm)

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