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Edgerton Care Center, Inc
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313 Stoughton Rd
Edgerton, WI 53534
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 61 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 11/02/2011
| Date of last standard health inspection: | 11/02/2011 |
| 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 |
Inspection, 00/02/2011
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/02/2011 | 03/00/2011 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 00/02/2011 | 03/00/2011 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/02/2011 | 03/00/2011 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 00/02/2011 | 03/00/2011 | 2 | Some |
| Provide care by qualified persons according to each resident's written plan of care. | 00/02/2011 | 03/00/2011 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/02/2011 | 03/00/2011 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 00/02/2011 | 03/00/2011 | 2 | Few |
Inspection, 01/06/2009
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 01/06/2009 | 02/03/2010 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 01/06/2009 | 02/03/2010 | 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. | 01/06/2009 | 02/03/2010 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/06/2009 | 02/03/2010 | 2 | Few |
Inspection, 02/00/2006
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/00/2006 | 00/05/2007 | 2 | Few |
Inspection, 00/09/2001
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 00/09/2001 | 02/04/2001 | 2 | Some |
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. | 00/09/2001 | 02/02/2001 | 2 | Few |
Pharmacy Service Deficiencies |
||||
| 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. | 00/09/2001 | 03/01/2001 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 00/09/2001 | 01/04/2001 | 2 | Some |
| Provide care by qualified persons according to each resident's written plan of care. | 00/09/2001 | 01/04/2001 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/09/2001 | 02/03/2001 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 00/09/2001 | 01/00/2001 | 1 | Many |
Nursing Home Staffing
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 | 2 out of 5 stars |
| Total Number of Residents | 85 | 73 | 58 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 4 hours 51 minutes | 42 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 4 hours 18 minutes | 22 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 4 hours | 20 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 5 hours 58 minutes | 1 hour 22 minutes |
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.
Quality Measures
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.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
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.
Most Recent Inspection: 11/01/2011
| Automatic Sprinkler Systems in all required areas | Partial |
| Date of last standard fire safety inspection: | 11/01/2011 |
| 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 |
Inspection, 00/01/2011
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 00/01/2011 | 00/01/2012 | 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. | 00/01/2011 | 02/05/2011 | 2 | Many |
| Properly installed electrical wiring and equipment. | 00/01/2011 | 02/09/2011 | 2 | Some |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 00/01/2011 | 02/03/2012 | 2 | Many |
| Record of quarterly fire drills for each shift under varying conditions. | 00/01/2011 | 01/04/2011 | 2 | Many |
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. | 00/01/2011 | 02/03/2012 | 2 | Many |
| An automatic smoke detection system in all hallways. | 00/01/2011 | 00/03/2011 | 2 | Many |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly sized and located linen or trash receptacles. | 00/01/2011 | 02/02/2011 | 2 | Some |
Hazardous Area Deficiencies |
||||
| 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. | 00/01/2011 | 02/03/2012 | 2 | Many |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Emergency lighting that can last at least 1 1/2 hours. | 00/01/2011 | 02/05/2011 | 2 | Many |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly constructed piped-in oxygen systems. | 00/01/2011 | 00/05/2012 | 2 | Many |
| A properly installed medical gas master alarm panel. | 00/01/2011 | 00/05/2012 | 2 | Many |
Inspection, 01/04/2009
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 01/04/2009 | 02/03/2010 | 2 | Many |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A two-hour-resistant firewall separation. | 01/04/2009 | 02/03/2010 | 2 | Few |
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly constructed linen or trash chutes. | 01/04/2009 | 02/03/2010 | 2 | Some |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/04/2009 | 02/04/2011 | 2 | Some |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 01/04/2009 | 02/03/2010 | 2 | Many |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 01/04/2009 | 00/03/2012 | 2 | Some |
Hazardous Area Deficiencies |
||||
| 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. | 01/04/2009 | 02/03/2010 | 2 | Some |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 01/04/2009 | 02/04/2011 | 2 | Many |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 01/04/2009 | 02/03/2010 | 2 | Some |
Inspection, 00/09/2001
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 00/09/2001 | 02/01/2001 | 2 | Many |
| Portable fire extinguishers. | 00/09/2001 | 01/00/2001 | 2 | Some |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 00/09/2001 | 01/01/2001 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 00/09/2001 | 01/08/2003 | 2 | Many |
| Properly installed electrical wiring and equipment. | 00/09/2001 | 02/01/2001 | 2 | Few |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exit stairways and towers that are smoke proof. | 00/09/2001 | 00/00/0000 | 2 | Some |
| Exits that are accessible at all times. | 00/09/2001 | 00/00/0000 | 2 | Many |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 00/09/2001 | 01/05/2003 | 2 | Many |
| Properly maintained smoke detectors. | 00/09/2001 | 02/04/2001 | 2 | Many |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 00/09/2001 | 02/02/2001 | 2 | Some |
Hazardous Area Deficiencies |
||||
| 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. | 00/09/2001 | 01/01/2001 | 2 | Few |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Emergency lighting that can last at least 1 1/2 hours. | 00/09/2001 | 01/01/2001 | 2 | Many |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 00/09/2001 | 01/01/2001 | 2 | Some |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." | 00/09/2001 | 01/04/2001 | 2 | Few |
