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