Provider Name: WI VETERANS HOME AT CHIPPEWA FALLS
Address: 2175 E PARK AVE, CHIPPEWA FALLS, WI 54729
Phone: (715) 720-6775
County: Chippewa (080)
Ownership Type: Government - State
Certified Beds: 72
Average Residents Per Day: 69.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: STATE OF WISCONSIN
First Approved Date: February 13, 2013
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: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.24646, LPN Staff Hours Per Day: 0.5026, RN Staff Hours Per Day: 1.0207, Licensed Staff Hours Per Day: 1.5234
Total Nurse Staff Hours Per Day, per resident: 3.76987
Weekend Nurse Staff Hours: 3.50478, Weekend RN Staff Hours: 0.8049
PT Staff Hours Per Day, per resident: 0.0137
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8189, Case Mix LPN Hours Per Day: 0.6706, Case Mix RN Hours Per Day: 0.2977
Adjusted Nurse Aide Hours Per Day, per resident: 2.51600, Adjusted LPN Hours Per Day: 0.5531, Adjusted RN Hours Per Day: 1.2919
Total Adjusted Nurse Hours Per Day, per resident: 4.26315
Adjusted Weekend Nurse Hours Per Day, per resident: 3.96338
Health Survey Dates and Scores: Cycle 1: 2023-03-01 (Score: 16), Cycle 2: 2022-01-20 (Score: 0), Cycle 3: 2020-02-05 (Score: 0)
Total Weighted Health Score: 8.000
Reported Incidents: 0, Substantiated Complaints: 2
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 657.80, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 2175 E PARK AVE,CHIPPEWA FALLS,WI,54729 (44.9298, -91.358)
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: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 2023-05-04
Type: Health, Deficiency: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 2023-05-04
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 2023-04-01
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: