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Mayville Nur Rehab Ctr

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 133
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: 07/08/2011

Date of last standard health inspection: 07/08/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 11
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
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. 00/07/2012 01/00/2001 2 Few
Employ staff that are licensed 00/07/2012 01/00/2001 or registered in accordance with state laws. certified
Keep accurate 00/07/2012 01/00/2001 Some 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. 00/07/2012 01/00/2001 3 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 00/07/2012 01/00/2001 Few neglect and misappropriation of personal property.
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. 00/07/2012 01/00/2001 4 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/07/2012 01/00/2001 4 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/07/2012 01/00/2001 2 Few
Develop a complete care plan that meets all the resident's needs 00/07/2012 01/00/2001 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 00/07/2012 01/00/2001 and a family member of situations (injury/decline/ the resident's doctor
Ensure residents have the right to have a choice over activities 00/07/2012 01/00/2001 and health care according to their interests their schedules

Inspection, 01/02/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/02/2009 01/02/2010 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. 01/02/2009 01/02/2010 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/02/2009 01/02/2010 2 Some
Keep all essential equipment working safely. 01/02/2009 01/02/2010 1 Many
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. 01/02/2009 01/02/2010 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. 01/02/2009 01/02/2010 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. 01/02/2009 01/02/2010 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. 01/02/2009 01/02/2010 2 Few
Ensure residents maintain acceptable nutritional status. 01/02/2009 01/02/2010 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 01/02/2009 01/02/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/02/2009 01/02/2010 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. 01/02/2009 01/02/2010 2 Few

Inspection, 00/08/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/08/2007 01/00/2008 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/08/2007 01/00/2008 2 Few
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/08/2007 01/00/2008 2 Few
Keep accurate 00/08/2007 01/00/2008 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. 00/08/2007 01/00/2008 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/08/2007 01/00/2008 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/08/2007 01/00/2008 2 Few
Have a program that investigates 00/08/2007 01/00/2008 Few controls and keeps infection from spreading.
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. 00/08/2007 01/00/2008 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. 00/08/2007 01/00/2008 2 Some
1) Hire only people with no legal history of abusing 00/08/2007 01/00/2008 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 00/08/2007 01/00/2008 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. 00/08/2007 01/00/2008 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/08/2007 01/00/2008 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. 00/08/2007 01/00/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2007 01/00/2008 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/08/2007 01/00/2008 4 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/08/2007 01/00/2008 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/08/2007 01/00/2008 2 Some
Provide care by qualified persons according to each resident's written plan of care. 00/08/2007 01/00/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2007 01/00/2008 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/08/2007 01/00/2008 4 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 00/08/2007 01/00/2008 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/08/2007 01/00/2008 2 Some
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. 00/08/2007 01/00/2008 2 Few
Make sure that doctors visit residents regularly, as required. 00/08/2007 01/00/2008 2 Few
Develop a complete care plan that meets all the resident's needs 00/08/2007 01/00/2008 Few with timetables and actions that can be measured.
Make sure that doctors visit residents regularly 00/08/2007 01/00/2008 Few as required.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/08/2007 01/00/2008 3 Few
Immediately tell the resident 00/08/2007 01/00/2008 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/09/2006

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. 00/09/2006 01/02/2008 3 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. 00/09/2006 01/02/2008 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 00/09/2006 01/04/2007 and that incontinent patients receive proper servi unless medically necessary

Inspection, 00/04/2006

Administration Deficiencies
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. 00/04/2006 01/00/2007 2 Many
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/04/2006 01/00/2007 2 Few
Keep accurate 00/04/2006 01/00/2007 Few complete and organized clinical records on each re
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/04/2006 01/00/2007 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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. 00/04/2006 01/00/2007 4 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/04/2006 01/00/2007 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/04/2006 01/00/2007 and a family member of situations (injury/decline/ the resident's doctor
Allow residents to self-administer drugs if determined safe. 00/04/2006 01/00/2007 2 Few
Ensure residents have the right to have a choice over activities 00/04/2006 01/00/2007 and health care according to their interests their schedules

Inspection, 03/00/2004

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 03/00/2004 01/00/2007 3 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 03/00/2004 01/00/2007 2 Some

Inspection, 00/04/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/04/2004 01/00/2007 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/04/2004 01/00/2007 Few controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/04/2004 01/00/2007 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

Inspection, 01/09/2003

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. 01/09/2003 00/00/0000 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. 01/09/2003 00/00/0000 1 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. 01/09/2003 00/00/0000 2 Few
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. 01/09/2003 00/00/0000 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 01/09/2003 00/00/0000 1 Many
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. 01/09/2003 00/00/0000 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/09/2003 00/00/0000 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/09/2003 00/00/0000 2 Few
Try to resolve each resident's complaints quickly. 01/09/2003 00/00/0000 2 Few

Inspection, 02/04/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 02/04/2002 02/04/2003 1 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/04/2002 02/04/2003 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/04/2002 02/04/2003 2 Some

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 5 out of 5 stars
Total Number of Residents 86 73 59
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 5 hours 45 minutes 2 hours 13 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 5 hours 12 minutes 1 hour 29 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 4 hours 54 minutes 43 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 6 hours 51 minutes 2 hours 37 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: 06/28/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 06/28/2011
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, 01/08/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/08/2009 01/02/2010 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly sized and located linen or trash receptacles. 01/08/2009 01/02/2010 2 Few
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. 01/08/2009 01/02/2010 2 Some

Inspection, 02/08/2006

Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 02/08/2006 01/00/2008 2 Many

Inspection, 01/04/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/04/2003 00/00/0000 2 Some
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. 01/04/2003 00/00/0000 2 Many
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. 01/04/2003 00/00/0000 2 Some
 

305 S Clark St
Mayville, WI 53050

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