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St Francis In The Park Hlth Rehab
1800 NEW YORK AVE
Superior, WI 54880
(715) 394-5591
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 168 |
| Number of Residents: | 67 |
| Percent of Occupied Beds: | 40% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | Yes |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080416 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Isolated | Minimal harm or potential for actual harm | 20080516 |
| 20080616 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Widespread | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Pattern | Immediate jeopardy to resident health or safety | 20080813 |
| 20080616 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20081028 |
| 20080616 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm | 20081028 |
| 20080616 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Pattern | Immediate jeopardy to resident health or safety | 20080813 |
| 20080616 | Health | Administration Deficiencies | 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | Pattern | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Administration Deficiencies | Quickly tell the resident's doctor the results of lab tests. | Isolated | Actual harm | 20080813 |
| 20080616 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20080929 |
| 20080616 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Pattern | Actual harm | 20080813 |
| 20080616 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080929 |
| 20080616 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20080813 |
| 20080616 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Immediate jeopardy to resident health or safety | 20080813 |
| 20080616 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080929 |
| 20080616 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Immediate jeopardy to resident health or safety | 20080929 |
| 20080616 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20080929 |
| 20080703 | Fire Safety | Electrical Deficiencies | properly installed electrical wiring and equipment. | Widespread | Minimal harm or potential for actual harm | 20080930 |
| 20081007 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Pattern | Minimal harm or potential for actual harm | 20081028 |
| 20081007 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20081028 |
| 20090410 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20090508 |
| 20090410 | Health | Mistreatment Deficiencies | Protect residents from mistreatment, neglect, and/or theft of personal property. | Isolated | Actual harm | 20090508 |
| 20090410 | Health | Resident Rights Deficiencies | Let the resident refuse treatment or refuse to take part in an experiment. | Isolated | Minimal harm or potential for actual harm | 20090508 |
| 20090811 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20091218 |
| 20090811 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20091218 |
| 20090811 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20091117 |
| 20090811 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20091218 |
| 20090811 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20091218 |
| 20090811 | Health | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm | 20091218 |
| 20090811 | Health | Pharmacy Service Deficiencies | Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | Isolated | Minimal harm or potential for actual harm | 20091218 |
| 20090811 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20091117 |
| 20090811 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Actual harm | 20091117 |
| 20090811 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20091218 |
| 20090903 | Health | Administration Deficiencies | Give or get lab tests to meet the needs of residents. | Isolated | Immediate jeopardy to resident health or safety | 20091117 |
| 20090903 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Immediate jeopardy to resident health or safety | 20091218 |
| 20090903 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Pattern | Minimal harm or potential for actual harm | 20091117 |
| 20091117 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm | 20091218 |
| 20100504 | Health | Resident Rights Deficiencies | Let residents give themselves their drugs if they are able. | Isolated | Minimal harm or potential for actual harm | 20100514 |
| 20100504 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm | 20100514 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 94 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 96 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 20 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 9 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 12 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 46 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 7 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 8 | |
| Percent of long-stay residents who had a urinary tract infection: | 5 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 86 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 93 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 11 | |
| Percent of short-stay residents who have pressure sores: | 9 | |
| # of Residents: | 67 |
| # RN Hours per Resident: | 1.2 |
| # LPN Hours per Resident: | 0.67 |
| # CNA Hours per Resident: | 2.96 |
| Total Staff Hours per Resident: | 1.87 |
