Overall Rating
Address
3401 Maple Grove Dr
Madison, WI 53719
Contact
6088451000
Certification Date
1977-01-01
CMS Certification Number
525276
Ownership Type
Non profit - Corporation
Number of Certified Beds
184
Average Number of Residents per Day
104.5
Provider Type
Medicare and Medicaid
Legal Business Name
SSM HEALTH CARE OF WISCONSIN INC
Affiliated Entity Name
SSM HEALTH
Affiliated Entity ID
486
Health Inspection Rating
1
Quality Measure Rating
5
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.44697
Reported LPN Staffing Hours per Resident per Day
0.36151
Reported RN Staffing Hours per Resident per Day
1.05552
Reported Total Nurse Staffing Hours per Resident per Day
3.86401
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.55453
Registered Nurse Hours per Resident per Day on the Weekend
0.78535
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03154
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
118.167
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
12
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-02-27
Total Number of Health Deficiencies
19
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
15
Health Deficiency Score
223
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
223
Standard Health Survey Date
2021-11-04
Total Number of Health Deficiencies
0
Number of Standard Health Deficiencies
0
Number of Complaint Health Deficiencies
0
Health Deficiency Score
0
Number of Health Revisits
0
Health Revisit Score
0
Total Health Score
0
Standard Health Survey Date
2019-09-12
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
0
Health Deficiency Score
40
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
40
Number of Fines
2
Total Amount of Fines in Dollars
51165.00
Number of Payment Denials
2
Total Number of Penalties
4