Provider Name: CLEARVIEW BRAIN INJURY CENTER
Address: 198 COUNTY DF, JUNEAU, WI 53039
Phone: (920) 386-3400
County: Dodge (130)
Ownership Type: Government - County
Certified Beds: 30
Average Residents Per Day: 13.3 ()
Provider Type: Medicaid, Resides in Hospital: No
Legal Business Name: Legal Business Name Not Available
First Approved Date: January 20, 2011
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: (2)
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.93781, LPN Staff Hours Per Day: 0.9017, RN Staff Hours Per Day: 0.9761, Licensed Staff Hours Per Day: 1.8779
Total Nurse Staff Hours Per Day, per resident: 4.81571
Weekend Nurse Staff Hours: 4.25098, Weekend RN Staff Hours: 0.4308
PT Staff Hours Per Day, per resident: 0.6398
Nurse Staff Turnover: 54.2, Nurse Turnover Note:
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.1081, Case Mix LPN Hours Per Day: 1.0208, Case Mix RN Hours Per Day: 0.5391
Adjusted Nurse Aide Hours Per Day, per resident: 2.83904, Adjusted LPN Hours Per Day: 0.6518, Adjusted RN Hours Per Day: 0.6821
Total Adjusted Nurse Hours Per Day, per resident: 4.13813
Adjusted Weekend Nurse Hours Per Day, per resident: 3.65286
Health Survey Dates and Scores: Cycle 1: 2023-03-22 (Score: 0), Cycle 2: 2022-04-07 (Score: 0), Cycle 3: 2021-04-21 (Score: 4)
Total Weighted Health Score: 0.667
Reported Incidents: 1, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 198 COUNTY DF,JUNEAU,WI,53039 (43.3958, -88.684)
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: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 2021-08-31
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: 0013, Version: New
Description: Develop Emergency Preparedness policies and procedures.
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 2023-04-06
Type: Fire Safety, Tag: 0345, Version: New
Description: Have approved installation, maintenance and testing program for fire alarm 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 2022-04-14
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
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 2021-04-27