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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: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: |  |
| 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 |
