MAYO CLINIC HLTH SYSTEM CHIPPEWA VALLEY-MAPLEWOOD - BLOOMER, WI

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Traci Schoonover, Public Affairs

Name changed to "Mayo Clinic Health System - Chippewa Valley"

Institution representatives - add corrected or new information about MAYO CLINIC HLTH SYSTEM CHIPPEWA VALLEY-MAPLEWOOD »

Addresss:

1501 THOMPSON ST
BLOOMER, WI, 54724

Phone (make sure to verify first before calling): (715) 568-6157

Number of Certified Beds: 31
Total Number of Residents: 29
Percent of Occupied Beds: 94%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: Yes
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 5 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 5 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 5 Stars

Other nearby hospitals and nursing homes

CHIPPEWA CTY PUBLIC HLTH (CHIPPEWA FALLS, 12.28 miles)
COLFAX HEALTH AND REHABILITATION CENTER (COLFAX, 12.66 miles)
RUTLEDGE HOME (CHIPPEWA FALLS, 11.97 miles)
HETZEL CARE NURSING AND REHABILITATION CENTER LLC (0.55 miles)
WISSOTA HEALTH AND REGIONAL VENT CENTER (CHIPPEWA FALLS, 12.61 miles)
NORTHERN WI CTR FDD (CHIPPEWA FALLS, 13.55 miles)
NORTHWEST WI HOMECARE (CHIPPEWA FALLS, 11.72 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14

Administrative Staff - Part Time: 0.57

Certified Nurse Aides - Full Time: 13.57

Certified Nurse Aides - Part Time: 7.17

Food Service Personnel - Part Time: 6.46

Licensed Practical/ Vocational Nurses - Full Time: 2.89

Licensed Practical/ Vocational Nurses - Part Time: 2.00

Nurses With Administrative Duties - Full Time: 0.91

Registered Nurses - Full Time: 2.03

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 1.14

Activities Professionals - Full Time: 1.14

Dietitians - Part Time: 0.69

Medical Directors - Part Time: 0.01

Occupational Therapists - Part Time: 0.01

Other Physicians - Part Time: 0.03

Pharmacists - Under Contract: 0.03

Physical Therapists - Part Time: 0.17

Speech Pathologists - Under Contract: 0.01

Persons Not Included In Any Other Categories - Part Time: 8.33

Registered Nurses - Part Time: 0.91

Housekeeping Personnel - Part Time: 4.21

Occupational Therapy Assistants - Part Time: 0.03

Physical Therapy Aide - Part Time: 0.01

Medication Aides/ Technicians - Part Time: 1.00

Number Of Beds

Total: 33

Total Certified: 33

Provided Services

Activities Services Are Provided Offsite To Residents

Activities Services Are Provided Onsite To Nonresidents

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Dental Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Offsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Other Social Services Are Provided Onsite To Nonresidents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Offsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Offsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Offsite To Residents

Social Work Services Are Provided Onsite To Non Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Offsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 37%

How often did nurses communicate well with patients?

Sometimes or never

This Nursing Home:	1%
State:	3%

Usually

Here:	15%
Wisconsin:	17%

Always

This Nursing Home:	84%
Wisconsin:	80%

How often did doctors communicate well with patients?

Sometimes or never

This Nursing Home:	1%
State:	3%

Usually

Here:	8%
Wisconsin:	15%

Always

Here:	91%
Wisconsin:	82%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	7%
State:	6%

Usually

Here:	21%
State:	24%

Always

This Nursing Home:	72%
State:	70%

How often was patients' pain well controlled?

Sometimes or never

Here:	4%
Wisconsin:	5%

Usually

This Nursing Home:	23%
Wisconsin:	24%

Always

Here:	73%
Wisconsin:	71%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	14%
Wisconsin:	15%

Usually

This Nursing Home:	12%
Wisconsin:	18%

Always

This Nursing Home:	74%
Wisconsin:	67%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

Here:	4%
State:	5%

Usually

Here:	15%
State:	17%

Always

Here:	81%
Wisconsin:	78%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

This Nursing Home:	8%
Wisconsin:	8%

Usually

Here:	30%
Wisconsin:	30%

Always

Here:	62%
State:	62%

Were patients given information about what to do during their recovery at home?

Yes

Here:	81%
State:	87%

This Nursing Home:	19%
State:	13%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Nursing Home:	3%
State:	6%

7 or 8

Here:	22%
State:	21%

9 or 10

Here:	75%
State:	73%

Would patients recommend the hospital to friends and family?

This Nursing Home:	2%
Wisconsin:	3%

Yes, probably

This Nursing Home:	20%
Wisconsin:	24%

Yes, definitely

This Nursing Home:	78%
Wisconsin:	73%

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Nursing Home:	100.0%
State:	98.3%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Nursing Home:	100.0%
State:	97.9%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

This Nursing Home:	100.0%
Wisconsin:	97.6%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

This Nursing Home:	92.0%
State:	95.6%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	100.0%
Wisconsin:	96.3%

Outcome of Care

30-Day Mortality Rates from Pneumonia

Here:	11.7%
State:	11.9%

30-Day Readmission Rates from Pneumonia

This Nursing Home:	17.0%
State:	18.1%

Complaint Deficiency

A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved installation, maintenance and testing program for fire alarm systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for
- Harm: Potential for minimal harm
- Scope: Some
Allow residents to easily view the results of the nursing home's most recent survey
- Harm: Potential for minimal harm
- Scope: Many
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Potential for minimal harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.080
State:	0.887

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.430
State:	0.546

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.510
State:	1.429

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.290
Wisconsin:	0.074

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.290
State:	0.079

MAYO CLINIC HLTH SYSTEM CHIPPEWA VALLEY-MAPLEWOOD - BLOOMER, WI

Hospital Consumer Assessment of Healthcare Providers

Process of Care

Heart Failure

Pneumonia

Outcome of Care

Complaint Deficiency

Staff Information

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