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Ledge View Nur Ctr
3737 DICKINSON RD
De Pere, WI 54115
(920) 336-7733
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 32 |
| Number of Residents: | 20 |
| Percent of Occupied Beds: | 63% |
| 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? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080630 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Immediate jeopardy to resident health or safety | 20080729 |
| 20080630 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20080729 |
| 20080630 | Health | Administration Deficiencies | 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | Widespread | Minimal harm or potential for actual harm | 20080729 |
| 20090209 | 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 | 20090224 |
| 20090209 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20090224 |
| 20090209 | 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 | 20090224 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 100 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 100 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 8 | |
| Percent of long-stay residents who have moderate to severe pain: | 10 | |
| Percent of high-risk long-stay residents who have pressure sores: | 8 | |
| Percent of low-risk long-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 29 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 71 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
| 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: | 9 | |
| Percent of long-stay residents who had a urinary tract infection: | 14 | |
| Percent of long-stay residents who lose too much weight: | 5 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 100 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of short-stay residents who have delirium: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of short-stay residents who had moderate to severe pain: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| Percent of short-stay residents who have pressure sores: | Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure. | |
| # of Residents: | 20 |
| # RN Hours per Resident: | 0.69 |
| # LPN Hours per Resident: | 0.98 |
| # CNA Hours per Resident: | 2.64 |
| Total Staff Hours per Resident: | 1.67 |
