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Wi Veterans Hm Stordock 700
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N2665 Cty Rd Qq
King, WI 54946
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0 Recommendations
Details
| Type of Ownership | Government - State |
| Participates in Medicare? | No |
| Participates in Medicaid? | Yes |
| Certified Beds | 200 |
| 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
Health Inspections
Most Recent Inspection: 01/24/2012
| Date of last standard health inspection: | 01/24/2012 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 1 |
| Average number of Health Deficiencies in WI: | 4 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in WI: | 0 - 23 |
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. | 02/07/2012 | 01/04/2002 | 4 | Few |
Inspection, 02/07/2012
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. | 02/07/2012 | 01/04/2002 | 4 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/07/2012 | 01/04/2002 | 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. | 02/07/2012 | 01/04/2002 | 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. | 02/07/2012 | 02/06/2001 | 2 | Many |
Quality Care Deficiencies |
||||
| 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. | 02/07/2012 | 01/04/2002 | 2 | Few |
| Provide care by qualified persons according to each resident's written plan of care. | 02/07/2012 | 01/04/2002 | 2 | Few |
Resident Assessment Deficiencies |
||||
| 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. | 02/07/2012 | 01/04/2002 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Tell the resident or the resident | 02/07/2012 | 01/04/2002 | 1 | Some |
Inspection, 00/09/2010
Environmental Deficiencies |
||||
| 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. | 00/09/2010 | 00/09/2011 | 1 | Many |
| Have a program that investigates, controls and keeps infection from spreading. | 00/09/2010 | 00/09/2011 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 00/09/2010 | 01/02/2010 | 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. | 00/09/2010 | 00/09/2011 | 2 | Few |
| Provide care by qualified persons according to each resident's written plan of care. | 00/09/2010 | 00/09/2011 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/09/2010 | 00/09/2011 | 2 | 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. | 00/09/2010 | 00/09/2011 | 2 | Few |
Resident Rights Deficiencies |
||||
| 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. | 00/09/2010 | 00/09/2011 | 1 | Some |
Inspection, 00/07/2002
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 |
| 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. | 00/07/2002 | 00/07/2003 | 2 | Few |
Inspection, 02/04/2001
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. | 02/04/2001 | 00/03/2002 | 3 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/04/2001 | 00/03/2002 | 2 | Few |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/04/2001 | 00/06/2002 | 1 | Many |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/04/2001 | 00/06/2002 | 3 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/04/2001 | 00/06/2002 | 2 | Few |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/04/2001 | 00/06/2002 | 1 | Many |
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. | 02/04/2001 | 00/03/2002 | 2 | Few |
| 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. | 02/04/2001 | 00/06/2002 | 2 | Few |
Pharmacy Service Deficiencies |
||||
| 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. | 02/04/2001 | 00/03/2002 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 02/04/2001 | 00/06/2002 | 2 | Few |
Quality Care Deficiencies |
||||
| 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. | 02/04/2001 | 00/03/2002 | 2 | 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. | 02/04/2001 | 00/06/2002 | 2 | Few |
Resident Assessment Deficiencies |
||||
| 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. | 02/04/2001 | 03/01/2001 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/04/2001 | 00/06/2002 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | 02/04/2001 | 00/03/2002 | 2 | Few |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | 02/04/2001 | 00/06/2002 | 2 | Few |
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 | 4 out of 5 stars |
| Total Number of Residents | 85 | 73 | 186 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 4 hours 51 minutes | 56 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 4 hours 18 minutes | 29 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 4 hours | 27 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 5 hours 58 minutes | 2 hours 30 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: 01/26/2012
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 01/26/2012 |
| 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, 01/03/2012
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 01/03/2012 | 01/03/2001 | 2 | Some |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 01/03/2012 | 01/03/2001 | 2 | Few |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Restrictions on the use of highly flammable decorations. | 01/03/2012 | 01/01/2001 | 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. | 01/03/2012 | 01/03/2001 | 2 | Some |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | 01/03/2012 | 01/03/2001 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/03/2012 | 01/03/2001 | 2 | Some |
Vertical Openings Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protected exits that allow the resident to escape the building. | 01/03/2012 | 01/03/2001 | 2 | Some |
Inspection, 00/07/2010
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A two-hour-resistant firewall separation. | 00/07/2010 | 02/00/2011 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 00/07/2010 | 02/00/2011 | 2 | Some |
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. | 00/07/2010 | 03/00/2011 | 2 | Few |
Interior Finish Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Fire resistant room wall surfaces. | 00/07/2010 | 00/06/2011 | 2 | Few |
Inspection, 02/06/2001
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. | 02/06/2001 | 00/07/2002 | 2 | Some |
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. | 02/06/2001 | 00/07/2002 | 2 | Some |
