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Pepin Manor
1110 SECOND ST
Pepin, WI 54759
(715) 442-4811
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 60 |
| Number of Residents: | 47 |
| Percent of Occupied Beds: | 78% |
| 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? | Resident |
| 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 |
| 20081118 | 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 | 20081217 |
| 20081118 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Isolated | Actual harm | 20081217 |
| 20081118 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20081217 |
| 20081118 | 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 | 20081217 |
| 20081217 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20081226 |
| 20090122 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20090225 |
| 20090122 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20090225 |
| 20091216 | 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 | 20100115 |
| 20091216 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100115 |
| 20091216 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20100115 |
| 20091216 | 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 | 20100115 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 93 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 90 | |
| 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: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 9 | |
| Percent of low-risk long-stay residents who have pressure sores: | 1 | |
| Percent of long-stay residents who were physically restrained: | 1 | |
| Percent of long-stay residents who are more depressed or anxious: | 17 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 35 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 4 | |
| 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: | 10 | |
| Percent of long-stay residents who had a urinary tract infection: | 6 | |
| Percent of long-stay residents who lose too much weight: | 9 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 81 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 65 | |
| Percent of short-stay residents who have delirium: | 4 | |
| Percent of short-stay residents who had moderate to severe pain: | 25 | |
| Percent of short-stay residents who have pressure sores: | 5 | |
| # of Residents: | 47 |
| # RN Hours per Resident: | 0.63 |
| # LPN Hours per Resident: | 0.54 |
| # CNA Hours per Resident: | 1.99 |
| Total Staff Hours per Resident: | 1.17 |
