Manorcare Health Services-pewaukee

N26 W23977 WATERTOWN RD
Waukesha, WI 53188
(262) 523-0933
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 120
Number of Residents: 89
Percent of Occupied Beds: 74%
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: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 2 Star Quality Measures Rating
RN Only: 5 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20080218 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 20080318
20081008 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 20081106
20090123 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 20090216
20090123 Health Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. Isolated Minimal harm or potential for actual harm 20090216
20090123 Health Resident Rights Deficiencies Provide services to meet the needs and preferences of each resident. Isolated Minimal harm or potential for actual harm 20090216
20090324 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Minimal harm or potential for actual harm 20090424
20090324 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 20090424
20090324 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 20090424
20090324 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 20090424
20090324 Health Nutrition and Dietary Deficiencies Make sure that the attending doctor orders special diets. Isolated Minimal harm or potential for actual harm 20090424
20090324 Health Quality Care Deficiencies Give or get dental care for each resident. Isolated Minimal harm or potential for actual harm 20090424
20090324 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 20090424
20091111 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
20100323 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 20100423
20100323 Health Resident Assessment Deficiencies 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. Isolated Minimal harm or potential for actual harm 20100423
20100323 Health Quality Care Deficiencies Provide activities to meet the needs of each resident. Pattern Minimal harm or potential for actual harm 20100423
20100323 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 20100423
20100323 Health Environmental Deficiencies Have a program to keep infection from spreading. Widespread Minimal harm or potential for actual harm 20100423
20100323 Health Administration Deficiencies Give or get lab tests to meet the needs of residents. Isolated Minimal harm or potential for actual harm 20100423
20100323 Health Administration Deficiencies Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. Pattern Potential for minimal harm 20100423
20100323 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 20100423
20100323 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 20100423
20100323 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20100423
20100323 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 20100423
20100506 Health Administration Deficiencies post nurse staffing information. Pattern Potential for minimal harm 20100521
20100506 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 20100521
20100506 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 20100521
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 80
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: 33
Percent of long-stay residents who have moderate to severe pain: 2
Percent of high-risk long-stay residents who have pressure sores: 11
Percent of low-risk long-stay residents who have pressure sores: 10
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 10
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 66
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: 2
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: 9
Percent of long-stay residents who lose too much weight: 6
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: 91
Percent of short-stay residents who have delirium: 6
Percent of short-stay residents who had moderate to severe pain: 19
Percent of short-stay residents who have pressure sores: 10
# of Residents: 89
# RN Hours per Resident: 0.96
# LPN Hours per Resident: 0.72
# CNA Hours per Resident: 2.1
Total Staff Hours per Resident: 1.68