Provider Name: HAYWARD HEALTH SERVICES
Address: 10775 NYMAN AVE, HAYWARD, WI 54843
Phone: (715) 634-2202
County: Sawyer (560)
Ownership Type: For profit - Corporation
Certified Beds: 59
Average Residents Per Day: 35.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: NSH VALLEY OF HAYWARD LLC
First Approved Date: September 1, 1989
Affiliated Entity: NORTH SHORE HEALTHCARE (377)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 3 ()
QM Rating: 5 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.94144, LPN Staff Hours Per Day: 0.4352, RN Staff Hours Per Day: 0.9578, Licensed Staff Hours Per Day: 1.3931
Total Nurse Staff Hours Per Day, per resident: 3.33456
Weekend Nurse Staff Hours: 3.09252, Weekend RN Staff Hours: 0.7658
PT Staff Hours Per Day, per resident: 0.1185
Nurse Staff Turnover: 55.9, Nurse Turnover Note:
RN Turnover: 66.7, RN Turnover Note:
Admin Left Number: 3, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0784, Case Mix LPN Hours Per Day: 0.6616, Case Mix RN Hours Per Day: 0.3064
Adjusted Nurse Aide Hours Per Day, per resident: 1.90295, Adjusted LPN Hours Per Day: 0.4854, Adjusted RN Hours Per Day: 1.1778
Total Adjusted Nurse Hours Per Day, per resident: 3.45004
Adjusted Weekend Nurse Hours Per Day, per resident: 3.19962
Health Survey Dates and Scores: Cycle 1: 2023-09-14 (Score: 54), Cycle 2: 2022-08-31 (Score: 12), Cycle 3: 2021-06-29 (Score: 8)
Total Weighted Health Score: 45.833
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 20110.00, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 10775 NYMAN AVE,HAYWARD,WI,54843 (46.0226, -91.488)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-15
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-27
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-30
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-30
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-21
Type: Health, Deficiency: Post nurse staffing information every day.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-21
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-30
Type: Fire Safety, Tag: 0919, Version: New
Description: Meet requirements for the use of electrical equipment.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-30