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CEDARBURG HEALTH SERVICES

Overall Rating

Address

N27 W5707 Lincoln Blvd

Cedarburg, WI 53012

Contact

2623767676

Certification Date

1995-07-27

Details

CMS Certification Number

525578

Ownership Type

For profit - Corporation

Number of Certified Beds

78

Average Number of Residents per Day

42.6

Provider Type

Medicare and Medicaid

Legal Business Name

NSH CEDARBURG LLC

Affiliated Entity Name

NORTH SHORE HEALTHCARE

Affiliated Entity ID

377

Ratings

Health Inspection Rating

2

Quality Measure Rating

3

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.56411

Reported LPN Staffing Hours per Resident per Day

1.05997

Reported RN Staffing Hours per Resident per Day

0.78739

Reported Total Nurse Staffing Hours per Resident per Day

4.41146

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

4.03399

Registered Nurse Hours per Resident per Day on the Weekend

0.47306

Reported Physical Therapist Staffing Hours per Resident Per Day

0.13511

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

49.333

Number of Facility Reported Incidents

1

Number of Substantiated Complaints

2

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-11-29

Total Number of Health Deficiencies

8

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

3

Health Deficiency Score

32

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

32

Rating Cycle 2

Standard Health Survey Date

2022-08-24

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

8

Number of Complaint Health Deficiencies

2

Health Deficiency Score

64

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

64

Rating Cycle 3

Standard Health Survey Date

2021-05-19

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

10

Number of Complaint Health Deficiencies

0

Health Deficiency Score

72

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

72

Penalties

Number of Fines

3

Total Amount of Fines in Dollars

29113.50

Number of Payment Denials

0

Total Number of Penalties

3