Provider Name: CHRISTIAN COMMUNITY HOME
Address: 1320 WISCONSIN ST, HUDSON, WI 54016
Phone: (715) 386-9303
County: St. Croix (540)
Ownership Type: Non profit - Other
Certified Beds: 50
Average Residents Per Day: 30.1 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CHRISTIAN COMMUNITY HOME OF HUDSON, INC
First Approved Date: July 1, 1997
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 3 ()
QM Rating: 3 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.37358, LPN Staff Hours Per Day: 0.2168, RN Staff Hours Per Day: 1.6114, Licensed Staff Hours Per Day: 1.8282
Total Nurse Staff Hours Per Day, per resident: 4.20186
Weekend Nurse Staff Hours: 3.66650, Weekend RN Staff Hours: 1.2548
PT Staff Hours Per Day, per resident: 0.1584
Nurse Staff Turnover: 29.3, Nurse Turnover Note:
RN Turnover: 9.1, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1052, Case Mix LPN Hours Per Day: 0.7565, Case Mix RN Hours Per Day: 0.3316
Adjusted Nurse Aide Hours Per Day, per resident: 2.29688, Adjusted LPN Hours Per Day: 0.2114, Adjusted RN Hours Per Day: 1.8311
Total Adjusted Nurse Hours Per Day, per resident: 4.14733
Adjusted Weekend Nurse Hours Per Day, per resident: 3.61892
Health Survey Dates and Scores: Cycle 1: 2024-01-04 (Score: 40), Cycle 2: 2022-11-10 (Score: 16), Cycle 3: 2021-09-16 (Score: 0)
Total Weighted Health Score: 25.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 6218.55, Payment Denials Number: 0, Total Penalties Number: 2
Location and GPS: 1320 WISCONSIN ST,HUDSON,WI,54016 (44.9731, -92.740)
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 receive visitors of his or her choosing, at the time of his or her choosing.
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 2024-02-13
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2024-02-13
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2024-02-13
Type: Health, Deficiency: Develop and implement policies and procedures for flu and pneumonia vaccinations.
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 2024-02-13
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 2022-12-02
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: 0004, Version: New
Description: Develop and maintain an Emergency Preparedness Program (EP).
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 2021-10-07
Type: Fire Safety, Tag: 0293, Version: New
Description: Have properly located and lighted "Exit" signs.
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 2021-10-07
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-10-07
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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 2021-10-07
Type: Fire Safety, Tag: 0911, Version: New
Description: Meet requirements for the installation and maintenance of electrical systems.
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 2021-10-07
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
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 2021-10-07