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W4266 State Hwy 29
Owen, WI 54460
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| Type of Ownership | Government - County |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 172 |
| 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: | 10/25/2011 |
| 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: | 3 |
| 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 |
| Post nurse staffing information/data on a daily basis. | 02/05/2010 | 02/08/2011 | 1 | Many |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | 02/05/2010 | 02/08/2011 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/05/2010 | 02/08/2011 | 3 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/05/2010 | 02/08/2011 | 4 | 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. | 02/05/2010 | 02/08/2011 | 2 | Some |
| 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. | 02/05/2010 | 02/08/2011 | 2 | Some |
| 1) Hire only people with no legal history of abusing | 02/05/2010 | 02/08/2011 | neglect or mistreatment of residents. | neglecting or mistreating residents; or 2) report |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention | 02/05/2010 | 02/08/2011 | investigation | identification |
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. | 02/05/2010 | 02/08/2011 | 2 | Some |
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. | 02/05/2010 | 02/08/2011 | 2 | Few |
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. | 02/05/2010 | 02/08/2011 | 2 | Some |
| Provide care by qualified persons according to each resident's written plan of care. | 02/05/2010 | 02/08/2011 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/05/2010 | 02/08/2011 | 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. | 02/05/2010 | 02/08/2011 | 3 | 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. | 02/05/2010 | 02/08/2011 | 2 | Some |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/05/2010 | 02/08/2011 | 2 | Some |
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. | 02/05/2010 | 02/08/2011 | 1 | Many |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/05/2010 | 02/08/2011 | 2 | Some |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate | 02/07/2007 | 00/02/2009 | Few | complete and organized clinical records on each re |
Environmental Deficiencies |
||||
| 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. | 02/07/2007 | 00/02/2009 | 3 | Few |
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate | 03/00/2003 | 03/00/2004 | Few | complete and organized clinical records on each re |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protect each resident from mistreatment | 03/00/2003 | 03/00/2004 | Some | neglect and misappropriation of personal property. |
| 1) Hire only people with no legal history of abusing | 03/00/2003 | 03/00/2004 | neglect or mistreatment of residents. | neglecting or mistreating residents; or 2) report |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention | 03/00/2003 | 03/00/2004 | investigation | identification |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 03/00/2003 | 03/00/2004 | 2 | Few |
Environmental Deficiencies |
||||
| 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. | 00/07/2002 | 00/07/2003 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 00/07/2002 | 00/07/2003 | 2 | Few |
Mistreatment Deficiencies |
||||
| 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. | 00/07/2002 | 00/07/2003 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 00/07/2002 | 00/07/2003 | 2 | Many |
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. | 00/07/2002 | 00/07/2003 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 00/07/2002 | 00/07/2003 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/07/2002 | 00/07/2003 | 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 | 86 | 73 | 154 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
16 hours 19 minutes | 4 hours 51 minutes | 1 hour 22 minutes |
|
RN Hours per Resident per Day |
15 hours 30 minutes | 4 hours 18 minutes | 1 hour |
|
LPN/LVN Hours per Resident per Day |
15 hours 45 minutes | 4 hours | 22 minutes |
|
CNA Hours per Resident per Day |
17 hours 14 minutes | 5 hours 58 minutes | 3 hours 16 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.
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 | Partial |
| Date of last standard fire safety inspection: | 10/27/2011 |
| 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 |
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. | 02/07/2010 | 01/05/2011 | 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. | 02/07/2010 | 01/05/2011 | 2 | Some |
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. | 01/03/2010 | 01/05/2012 | 2 | Few |
| Automatic sprinkler systems that have been maintained in working order. | 01/03/2010 | 01/05/2012 | 2 | Some |
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. | 01/03/2010 | 01/05/2012 | 2 | Some |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Rooms that can be unlocked from inside without a key. | 01/03/2010 | 01/05/2012 | 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. | 01/03/2010 | 01/05/2012 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 01/03/2010 | 01/05/2012 | 2 | Some |
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. | 00/05/2002 | 01/05/2003 | 2 | Few |
| Automatic sprinkler systems that have been maintained in working order. | 00/05/2002 | 01/05/2003 | 2 | Some |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 00/05/2002 | 01/05/2003 | 2 | Few |
Vertical Openings Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper stairway enclosures and vertical shafts. | 00/05/2002 | 01/05/2003 | 2 | Some |