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Wellspring Of Milwaukee

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 185
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: 09/07/2011

Date of last standard health inspection: 09/07/2011
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

Inspection, 02/00/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep all essential equipment working safely. 02/00/2011 01/03/2012 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/00/2011 01/03/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 03/01/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 03/01/2010 00/09/2011 Few complete and organized clinical records on each re
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. 03/01/2010 00/09/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 03/01/2010 00/09/2011 2 Few

Inspection, 02/09/2009

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 02/09/2009 00/06/2010 and involuntary separation from others. physical punishment
1) Hire only people with no legal history of abusing 02/09/2009 00/06/2010 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 02/09/2009 00/06/2010 investigation identification
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. 02/09/2009 00/06/2010 2 Few

Inspection, 01/08/2009

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. 01/08/2009 00/03/2010 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/08/2009 00/03/2010 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2009 00/03/2010 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 01/08/2009 00/03/2010 2 Few
Protect each resident from all abuse 01/08/2009 00/03/2010 and involuntary separation from others. physical punishment
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. 01/08/2009 00/03/2010 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/08/2009 00/03/2010 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/08/2009 00/03/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/08/2009 00/03/2010 2 Few

Inspection, 00/08/2009

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. 00/08/2009 01/04/2010 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/08/2009 01/04/2010 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/08/2009 02/09/2011 4 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/08/2009 01/04/2010 2 Few
Pharmacy Service Deficiencies
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. 00/08/2009 01/04/2010 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/08/2009 01/04/2010 2 Some
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. 00/08/2009 01/04/2010 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/08/2009 01/04/2010 4 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/08/2009 01/04/2010 2 Few
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 00/08/2009 01/04/2010 2 Few
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 00/08/2009 01/04/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 00/08/2009 02/09/2011 2 Some

Inspection, 00/07/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide or obtain laboratory services only when ordered by the attending physician. 00/07/2009 00/06/2010 2 Few
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. 00/07/2009 00/06/2010 2 Some
Provide a safe 00/07/2009 00/06/2010 comfortable and home-like environment; and allow r clean
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. 00/07/2009 00/06/2010 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. 00/07/2009 00/06/2010 2 Few
1) Hire only people with no legal history of abusing 00/07/2009 00/06/2010 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 00/07/2009 00/06/2010 investigation identification
Pharmacy Service Deficiencies
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%. 00/07/2009 00/06/2010 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/07/2009 00/06/2010 2 Few
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. 00/07/2009 00/06/2010 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/07/2009 00/06/2010 2 Few
Provide care by qualified persons according to each resident's written plan of care. 00/07/2009 00/06/2010 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/07/2009 00/06/2010 3 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/07/2009 00/06/2010 3 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. 00/07/2009 00/06/2010 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/07/2009 00/06/2010 2 Few
Develop a complete care plan that meets all the resident's needs 00/07/2009 00/06/2010 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 00/07/2009 00/06/2010 2 Few
Keep residents' personal and medical records private and confidential. 00/07/2009 00/06/2010 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/07/2009 00/06/2010 2 Few

Inspection, 00/03/2006

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. 00/03/2006 00/03/2007 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. 00/03/2006 00/03/2007 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 00/03/2006 00/03/2007 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/03/2006 00/03/2007 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/01/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe 02/01/2004 01/03/2005 comfortable and home-like environment; and allow r clean
Make sure that the nursing home area is safe 02/01/2004 01/03/2005 clean and comfortable for residents easy to use
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/01/2004 01/03/2005 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 02/01/2004 01/03/2005 investigation identification
Pharmacy Service Deficiencies
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. 02/01/2004 01/03/2005 2 Few
Quality Care Deficiencies
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. 02/01/2004 02/01/2004 3 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 02/01/2004 01/03/2005 Some with timetables and actions that can be measured.

Inspection, 01/03/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/03/2003 02/02/2003 Few complete and organized clinical records on each re
Train all employees on what to do in an emergency 01/03/2003 02/02/2003 Some and carry out unannounced staff drills.
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. 01/03/2003 02/02/2003 3 Few
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. 01/03/2003 02/02/2003 2 Few

Inspection, 00/08/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide clean bed and bath linens that are in good condition. 00/08/2002 02/02/2003 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug 00/08/2002 01/03/2003 wrong time) to less than 5%. wrong dose
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/08/2002 02/02/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/08/2002 01/03/2003 3 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2002 02/02/2003 3 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 00/08/2002 02/02/2003 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. 00/08/2002 01/03/2003 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 86 73 100
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 5 hours 45 minutes 2 hours 16 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 5 hours 12 minutes 41 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 4 hours 54 minutes 1 hour 34 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 6 hours 51 minutes 2 hours 41 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: 08/31/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 08/31/2011
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, 01/04/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/04/2009 01/04/2009 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/04/2009 01/04/2009 2 Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 01/04/2009 00/05/2010 2 Few
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 01/06/2009 2 Some
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/04/2009 01/07/2009 2 Few
Corridor and hallway doors that block smoke. 01/04/2009 00/01/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/04/2009 02/00/2009 2 Many
Properly installed electrical wiring and equipment. 01/04/2009 01/04/2009 2 Some
Proper power supply for life support equipment. 01/04/2009 02/05/2010 2 Many
Properly installed electrical wiring and equipment. 01/04/2009 02/07/2009 2 Some
Exit and Exit Access Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least two remote exits on each floor or fire section of the building. 01/04/2009 01/07/2009 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors or aisles that are unobstructed and are at least 8 feet in width. 01/04/2009 01/04/2009 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 00/01/2011 2 Many
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 01/04/2009 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 01/04/2009 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/04/2009 02/07/2009 2 Some
Smoke Compartmentation and Control Deficiencies
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. 01/04/2009 01/06/2009 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/04/2009 01/05/2009 2 Some

Inspection, 03/01/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 03/01/2008 00/02/2010 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A two-hour-resistant firewall separation. 03/01/2008 03/00/2009 2 Some
Approved construction type or materials. 03/01/2008 01/02/2010 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 03/01/2008 00/06/2010 2 Some
Properly protected cooking facilities. 03/01/2008 00/00/0000 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 03/01/2008 00/02/2009 2 Some
Signs that state that exit doors are to be kept closed. 03/01/2008 01/04/2009 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 03/01/2008 00/06/2010 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Rooms that can be unlocked from inside without a key. 03/01/2008 00/06/2010 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 03/01/2008 02/01/2010 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. 03/01/2008 00/06/2010 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 03/01/2008 02/01/2010 2 Some
Emergency lighting that can last at least 1 1/2 hours. 03/01/2008 02/01/2010 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. 03/01/2008 00/06/2010 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly sized and located compartments to protect residents from smoke. 03/01/2008 00/04/2010 2 Some
Walls that prevent smoke from passing through and would resist fire for at least one hour. 03/01/2008 00/06/2010 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 03/01/2008 00/06/2010 2 Some
Smoking Regulations Deficiencies
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." 03/01/2008 00/06/2010 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 03/01/2008 00/06/2010 2 Some
Protected exits that allow the resident to escape the building. 03/01/2008 00/04/2010 2 Few
 

9350 W Fond Du Lac Ave
Milwaukee, WI 53225

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