Vallhaven Care Center

125 BYRD AVE
Neenah, WI 54956
(920) 725-2714
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 134
Number of Residents: 115
Percent of Occupied Beds: 86%
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: 3 Star Overall Rating
Health Inspection: 2 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071119 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 20071219
20071119 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20071219
20071119 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 20071219
20071211 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 20080110
20080219 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080319
20080610 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20080710
20080610 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 20080710
20090512 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. Isolated Minimal harm or potential for actual harm 20090606
20090601 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Widespread Potential for minimal harm
20100218 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 20100318
20100218 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20100318
20100218 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. Isolated Minimal harm or potential for actual harm 20100318
20100218 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. Pattern Minimal harm or potential for actual harm 20100318
20100218 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Widespread Minimal harm or potential for actual harm 20100318
20100218 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 20100318
20100309 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 20100318
20100518 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 20100618
20100518 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20100618
20100518 Health Administration Deficiencies Make sure that nurse aides show they have the skills to be able to care for residents. Isolated Minimal harm or potential for actual harm 20100618
20100518 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Minimal harm or potential for actual harm 20100618
  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: 100
Percent of long-stay residents whose need for help with daily activities has increased: 13
Percent of long-stay residents who have moderate to severe pain: 7
Percent of high-risk long-stay residents who have pressure sores: 4
Percent of low-risk long-stay residents who have pressure sores: 4
Percent of long-stay residents who were physically restrained: 4
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: 56
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 6
Percent of long-stay residents who spend most of their time in bed or in a chair: 1
Percent of long-stay residents whose ability to move about in and around their room got worse: 7
Percent of long-stay residents who had a urinary tract infection: 7
Percent of long-stay residents who lose too much weight: 10
Percent of short-stay residents given influenza vaccination during the flu season: 98
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 99
Percent of short-stay residents who have delirium: 3
Percent of short-stay residents who had moderate to severe pain: 20
Percent of short-stay residents who have pressure sores: 6
# of Residents: 115
# RN Hours per Resident: 1
# LPN Hours per Resident: 0.85
# CNA Hours per Resident: 1.92
Total Staff Hours per Resident: 1.85