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713 N Leonard St Po Box 850
West Salem, WI 54669
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| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 93 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
| Date of last standard health inspection: | 07/14/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in WI: | 4 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in WI: | 0 - 23 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep clinical record information safe. | 01/03/2009 | 00/03/2010 | 1 | Some |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 01/03/2009 | 00/03/2010 | 2 | Few |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/03/2009 | 00/03/2010 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/03/2009 | 00/03/2010 | 3 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 01/03/2009 | 00/03/2010 | 2 | Few |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. | 01/04/2007 | 02/01/2009 | 2 | Many |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | 01/04/2007 | 02/01/2009 | 2 | Some |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | 01/04/2007 | 02/01/2009 | 2 | Few |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | 01/04/2007 | 02/01/2009 | 2 | Many |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 01/04/2007 | 02/01/2009 | 2 | Many |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 01/04/2007 | 02/01/2009 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/04/2007 | 02/01/2009 | 4 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 01/04/2007 | 02/01/2009 | 2 | Many |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 01/04/2007 | 02/05/2008 | 1 | Many |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with 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. | 01/04/2007 | 02/01/2009 | 2 | Few |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 01/04/2007 | 02/01/2009 | 2 | Few |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 01/04/2007 | 02/01/2009 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 01/04/2007 | 02/01/2009 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 01/04/2007 | 02/01/2009 | 2 | Some |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 01/04/2007 | 02/01/2009 | 2 | Few |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/04/2007 | 02/01/2009 | 2 | Many |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/04/2007 | 02/01/2009 | 3 | Few |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/04/2007 | 02/04/2010 | 3 | Few |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 01/04/2007 | 02/01/2009 | 4 | Some |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 01/04/2007 | 02/01/2009 | 2 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that residents are fully informed and understand their health status, care and treatments. | 01/04/2007 | 02/01/2009 | 2 | Few |
| Keep residents' personal and medical records private and confidential. | 01/04/2007 | 02/01/2009 | 2 | Some |
| Provide residents with private access to a telephone. | 01/04/2007 | 02/01/2009 | 2 | Some |
| Provide care for each resident in a way that maintains or improves their quality of life. | 01/04/2007 | 02/01/2009 | 2 | Many |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/04/2007 | 02/01/2009 | 2 | Some |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | 01/04/2007 | 02/01/2009 | 2 | Some |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 02/02/2004 | 01/04/2005 | 2 | Few |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 02/02/2004 | 01/04/2005 | 2 | Few |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 02/02/2004 | 01/04/2005 | 2 | Few |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 02/02/2004 | 01/04/2005 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 02/02/2004 | 01/04/2005 | 2 | Few |
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in WI | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 5 out of 5 stars |
| Total Number of Residents | 85 | 73 | 67 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 4 hours 51 minutes | 1 hour 43 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 4 hours 18 minutes | 53 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 4 hours | 49 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 5 hours 58 minutes | 3 hours |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 07/14/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in WI: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in WI: | 0 - 0 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 02/00/2009 | 03/01/2010 | 2 | Few |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 02/00/2009 | 03/01/2010 | 1 | Many |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 02/08/2004 | 01/08/2005 | 2 | Few |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | 02/08/2004 | 03/00/2006 | 2 | Few |
| Corridor and hallway doors that block smoke. | 02/08/2004 | 03/00/2006 | 2 | Some |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 02/08/2004 | 02/04/2006 | 2 | Many |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 02/08/2004 | 01/08/2005 | 2 | Some |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 02/08/2004 | 01/09/2005 | 2 | Some |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 02/08/2004 | 03/00/2006 | 2 | Some |
Interior Finish Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Fire resistant room wall surfaces. | 02/08/2004 | 03/00/2006 | 2 | Some |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 02/08/2004 | 03/00/2006 | 2 | Few |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Other fire safety features required by fire safety codes. | 02/08/2004 | 03/00/2006 | 2 | Some |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper stairway enclosures and vertical shafts. | 02/08/2004 | 03/00/2006 | 2 | Few |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 02/08/2004 | 00/03/2006 | 2 | Some |