ST MARYS CARE CTR - MADISON, WI

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ST MARYS CARE CTR
3401 MAPLE GROVE DR
MADISON, WI, 53719

Phone (make sure to verify first before calling): (608) 845-1000

Number of Certified Beds: 184
Total Number of Residents: 177
Percent of Occupied Beds: 96%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: Yes
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: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 3.43
Administrative Staff - Part Time: 0.91
Certified Nurse Aides - Full Time: 40.09
Certified Nurse Aides - Part Time: 53.96
Dietitians - Under Contract: 0.54
Food Service Personnel - Full Time: 10.06
Food Service Personnel - Part Time: 7.87
Housekeeping Personnel - Full Time: 12.53
Licensed Practical/ Vocational Nurses - Full Time: 6.31
Licensed Practical/ Vocational Nurses - Part Time: 14.07
Nurses With Administrative Duties - Full Time: 2.29
Persons Not Included In Any Other Categories - Full Time: 9.31
Physical Therapists - Under Contract: 0.14
Registered Nurses - Full Time: 12.29
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 2.39
Occupational Therapists - Part Time: 0.76
Physical Therapists - Part Time: 1.06
Registered Nurses - Under Contract: 0.23
Persons Not Included In Any Other Categories - Part Time: 9.19
Registered Nurses - Part Time: 11.97
Social Workers - Part Time: 2.49
Housekeeping Personnel - Part Time: 4.29
Pharmacists - Full Time: 1.14
Occupational Therapists - Full Time: 1.14
Physical Therapists - Full Time: 1.14
Licensed Practical/ Vocational Nurses - Under Contract: 1.26
Nurse Aides In Training - Part Time: 1.80
Occupational Therapy Assistants - Part Time: 0.93
Speech Pathologists - Part Time: 1.19
Certified Nurse Aides - Under Contract: 1.94
Pharmacists - Part Time: 0.64
Physical Therapy Aide - Part Time: 2.69
Medication Aides/ Technicians - Part Time: 1.50

Provided Services

Administration And Storage Of Blood Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Non Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Nursing Services Are Provided Offsite To Residents
Nursing Services Are Provided Onsite To Non Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Non 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 Services Are Provided Offsite 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 Non Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Vocational Services Are Provided Offsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.030
Wisconsin:	0.851

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

This Nursing Home:	0.440
Wisconsin:	0.596

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.470
State:	1.446

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	2.890
State:	2.526

Quality Measures

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

This Nursing Home:	96.0%
State:	94.8%

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

Here:	100.0%
Wisconsin:	95.7%

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

Here:	11.0%
State:	13.7%

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

Here:	4.0%
Wisconsin:	3.6%

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

Here:	7.0%
State:	8.1%

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

This Nursing Home:	20.0%
State:	17.2%

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

Here:	48.0%
State:	50.1%

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

This Nursing Home:	13.0%
State:	6.5%

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

This Nursing Home:	4.0%
State:	1.9%

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

Here:	9.0%
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:	4.0%
State:	7.5%

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

Here:	98.0%
Wisconsin:	91.0%

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

This Nursing Home:	98.0%
State:	91.2%

Percent of short-stay residents who have delirium

Here:	1.0%
Wisconsin:	1.4%

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

Here:	33.0%
Wisconsin:	26.9%

Percent of short-stay residents who have pressure sores

Here:	11.0%
Wisconsin:	9.4%

Complaint Deficiency

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 (Immediate jeopardy to resident health or safety)

Give professional services that meet a professional standard of quality: Isolated (Actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Immediate jeopardy to resident health or safety)

Make sure that the nursing home area is free of dangers that cause accidents: 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)

Try to resolve each resident's complaints quickly: Isolated (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: Isolated (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)

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