VIRGINIA HEALTH AND REHAB CTR - WAUKESHA, WI
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Address 1451 CLEVELAND AVEPhone (make sure to verify first before calling): (262) 547-2123 Number of Certified Beds: 105 Total Number of Residents: 90 Percent of Occupied Beds: 86% 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: Resident Continuing Care Retirement Community?: No Quality Indicator Survey?: No Special Focus Facility?: No Type: Skilled Nursing Facilities Overall Star Rating: 5 Stars Health Inspections Star Rating: 4 Stars Nurse Staffing Star Rating: 3 Stars Quality Measures Star Rating: 5 Stars RN Only Star Rating: 4 Stars Employment Full-Time EquivalentAdministrative Staff - Full Time: 7.69Certified Nurse Aides - Full Time: 32.86 Certified Nurse Aides - Part Time: 6.31 Food Service Personnel - Full Time: 6.99 Food Service Personnel - Part Time: 2.77 Housekeeping Personnel - Full Time: 6.94 Licensed Practical/ Vocational Nurses - Full Time: 6.60 Licensed Practical/ Vocational Nurses - Part Time: 1.76 Medical Directors - Under Contract: 0.23 Mental Health Services Personnel - Under Contract: 0.11 Nurses With Administrative Duties - Full Time: 4.34 Registered Nurses - Full Time: 4.56 Rn Director Of Nursing - Full Time: 1.14 Social Workers - Full Time: 0.91 Occupational Therapists - Part Time: 1.16 Pharmacists - Under Contract: 0.17 Physical Therapists - Part Time: 0.06 Podiatrists - Under Contract: 0.11 Physician Extenders - Under Contract: 0.11 Dietitians - Full Time: 0.91 Registered Nurses - Part Time: 5.39 Social Workers - Part Time: 0.69 Housekeeping Personnel - Part Time: 1.54 Physical Therapists - Full Time: 1.23 Speech Pathologists - Part Time: 1.01 Medication Aides/ Technicians - Part Time: 0.97 Provided Services
Staff InformationNumber of Registered Nurses Hours Per Resident Per Day
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Total Number of Licensed Staff Hours Per Resident Per Day
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Number Therapy Hours Per Resident Per Day
Quality MeasuresPercent of long-stay residents whose need for help with daily activities has increased
Percent of long-stay residents who self-report moderate to severe pain
Percent of long-stay residents who lose too much weight
Percent of long-stay residents who have depressive symptoms
Percent of long-stay residents experiencing one or more falls with major injury
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who self-report moderate to severe pain
Percent of short-stay residents with Pressure ulcers that are new or worsened
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Percent of short-stay residents who newly received an antipsychotic medication
Percent of long-stay residents who received an antipsychotic medication
Complaint DeficiencyWrite and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: 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) Keep accurate, complete and organized clinical records on each resident that meet professional standards: 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) Weekly inspections and monthly testing of generators: 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) Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives: Few (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) Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property: Few (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) 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) 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) Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm) Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm) Emergency lighting that can last at least 1 1/2 hours: Many (Minimal harm or potential for actual harm) Properly protected cooking facilities: Few (Minimal harm or potential for actual harm) Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm) Other fire safety features required by fire safety codes: 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) Exits that are accessible at all times: Some (Minimal harm or potential for actual harm) Rooms that can be unlocked from inside without a key: Some (Minimal harm or potential for actual harm) Properly located and lighted Exit signs: Some (Minimal harm or potential for actual harm) A fire alarm system that can be heard throughout the facility: Some (Minimal harm or potential for actual harm) Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Few (Minimal harm or potential for actual harm) Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm) Weekly inspections and monthly testing of generators: Some (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Some (Minimal harm or potential for actual harm) Signs that state that exit doors are to be kept closed: 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) A fire alarm system that can be heard throughout the facility: Many (Minimal harm or potential for actual harm) Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm) Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Many (Potential for minimal harm) Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm) Store, cook, and serve food in a safe and clean way: 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) Other nearby hospitals and nursing homes
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