Overall Rating
Address
802 E Cty Hwy B
Shell Lake, WI 54871
Contact
7154687292
Certification Date
1994-11-01
CMS Certification Number
525553
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
50
Average Number of Residents per Day
41.9
Provider Type
Medicare and Medicaid
Legal Business Name
SHELL LAKE SNF LLC
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
3
Quality Measure Rating
2
Staffing Rating
4
Reported Nurse Aide Staffing Hours per Resident per Day
2.11117
Reported LPN Staffing Hours per Resident per Day
0.65617
Reported RN Staffing Hours per Resident per Day
0.68015
Reported Total Nurse Staffing Hours per Resident per Day
3.44750
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.14492
Registered Nurse Hours per Resident per Day on the Weekend
0.50183
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
24.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-06-28
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Standard Health Survey Date
2022-06-09
Total Number of Health Deficiencies
2
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
8
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
8
Standard Health Survey Date
2021-05-05
Total Number of Health Deficiencies
2
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
20
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
20
Number of Fines
1
Total Amount of Fines in Dollars
657.80
Number of Payment Denials
0
Total Number of Penalties
1