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SHAWANO HEALTH SERVICES

Overall Rating

Address

1436 S Lincoln St

Shawano, WI 54166

Contact

7155266111

Certification Date

1983-03-29

Details

CMS Certification Number

525335

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

100

Average Number of Residents per Day

42.1

Provider Type

Medicare and Medicaid

Legal Business Name

SHAWANO HEALTH SERVICES LLC

Affiliated Entity Name

NORTH SHORE HEALTHCARE

Affiliated Entity ID

377

Ratings

Health Inspection Rating

4

Quality Measure Rating

4

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.90391

Reported LPN Staffing Hours per Resident per Day

0.74880

Reported RN Staffing Hours per Resident per Day

0.62565

Reported Total Nurse Staffing Hours per Resident per Day

3.27836

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.91550

Registered Nurse Hours per Resident per Day on the Weekend

0.34435

Reported Physical Therapist Staffing Hours per Resident Per Day

0.04169

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

10.000

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-12-20

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

0

Health Deficiency Score

16

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

16

Rating Cycle 2

Standard Health Survey Date

2022-11-02

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

Rating Cycle 3

Standard Health Survey Date

2021-09-22

Total Number of Health Deficiencies

2

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

0

Health Deficiency Score

12

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

12

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0