Middleton Village Nur Rehab

6201 ELMWOOD AVE
Middleton, WI 53562
(608) 831-8300
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 97
Number of Residents: 87
Percent of Occupied Beds: 90%
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: 3 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071101 Health Administration Deficiencies Keep accurate and appropriate medical records. Isolated Minimal harm or potential for actual harm 20071130
20080311 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 20080407
20080311 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 20080407
20090331 Health Pharmacy Service Deficiencies 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. Isolated Minimal harm or potential for actual harm 20090430
20090331 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20090430
20090331 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 20090430
20090707 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 Actual harm 20090806
20090707 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20090806
20090707 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Minimal harm or potential for actual harm 20090806
20090707 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 20090806
20091008 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20091109
20091008 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20091109
20091008 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 20091109
20091008 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 20091109
  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: 91
Percent of long-stay residents whose need for help with daily activities has increased: 14
Percent of long-stay residents who have moderate to severe pain: 7
Percent of high-risk long-stay residents who have pressure sores: 10
Percent of low-risk long-stay residents who have pressure sores: 4
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 30
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 29
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 11
Percent of long-stay residents who spend most of their time in bed or in a chair: 2
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: 8
Percent of long-stay residents who lose too much weight: 7
Percent of short-stay residents given influenza vaccination during the flu season: 93
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 91
Percent of short-stay residents who have delirium: 1
Percent of short-stay residents who had moderate to severe pain: 28
Percent of short-stay residents who have pressure sores: 9
# of Residents: 87
# RN Hours per Resident: 1.15
# LPN Hours per Resident: 0.38
# CNA Hours per Resident: 2.28
Total Staff Hours per Resident: 1.53