Mayville Nur Rehab Ctr

305 S CLARK ST
Mayville, WI 53050
(920) 387-0354
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 133
Number of Residents: 80
Percent of Occupied Beds: 60%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Both
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 1 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 2 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071107 Health Environmental Deficiencies Have a program to keep infection from spreading. Pattern Minimal harm or potential for actual harm 20071207
20071107 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern Minimal harm or potential for actual harm 20071207
20080909 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Actual harm 20081022
20081022 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Isolated Minimal harm or potential for actual harm 20081107
20081022 Health Resident Rights Deficiencies Let residents give themselves their drugs if they are able. Isolated Minimal harm or potential for actual harm 20081107
20090813 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20090912
20091027 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Actual harm 20091222
20091222 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Immediate jeopardy to resident health or safety 20100119
20091222 Health Resident Assessment Deficiencies Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated Minimal harm or potential for actual harm 20100119
20091222 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 20100119
20100609 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 20100812
20100609 Health Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Minimal harm or potential for actual harm 20100714
20100609 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20100812
  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: 95
Percent of long-stay residents whose need for help with daily activities has increased: 11
Percent of long-stay residents who have moderate to severe pain: 6
Percent of high-risk long-stay residents who have pressure sores: 9
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 26
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 56
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 5
Percent of long-stay residents who spend most of their time in bed or in a chair: 0
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: 9
Percent of short-stay residents given influenza vaccination during the flu season: 83
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 79
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 42
Percent of short-stay residents who have pressure sores: 12
# of Residents: 80
# RN Hours per Resident: 0.82
# LPN Hours per Resident: 0.88
# CNA Hours per Resident: 1.99
Total Staff Hours per Resident: 1.7