TRI COUNTY MEMORIAL NH - WHITEHALL, WI

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Addresss:

18601 LINCOLN ST PO BOX 65
WHITEHALL, WI, 54773

Phone (make sure to verify first before calling): (715) 538-4361

Number of Certified Beds: 50
Total Number of Residents: 40
Percent of Occupied Beds: 80%
Sprinkler Status: Partially 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: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

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

Other nearby hospitals and nursing homes

AMERICAN LUTHERAN HOME MONDOVI (MONDOVI, 21.92 miles)
ARCADIA NURSING HOME (ARCADIA, 11.97 miles)
BUFFALO MEMORIAL HOSPITAL INC (MONDOVI, 21.92 miles)
CRYSTAL LAKE MANOR (STRUM, 13.38 miles)
FAMILY HERITAGE NURSING AND REHABILITATION CENTER (BLACK RIVER FALLS, 23.10 miles)
MARINUKA MANOR (GALESVILLE, 18.96 miles)
PIGEON FALLS HCC (PIGEON FALLS, 6.89 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 0.57

Certified Nurse Aides - Full Time: 25.90

Certified Nurse Aides - Part Time: 9.34

Food Service Personnel - Full Time: 3.43

Housekeeping Personnel - Full Time: 2.29

Licensed Practical/ Vocational Nurses - Full Time: 7.37

Nurses With Administrative Duties - Full Time: 1.37

Registered Nurses - Full Time: 2.97

Rn Director Of Nursing - Full Time: 0.57

Activities Professionals - Full Time: 3.14

Activities Professionals - Part Time: 0.57

Dietitians - Full Time: 0.57

Social Workers - Part Time: 0.57

Housekeeping Personnel - Part Time: 0.57

Pharmacists - Full Time: 0.57

Occupational Therapists - Full Time: 0.57

Physical Therapists - Full Time: 1.14

Occupational Therapy Assistants - Full Time: 0.57

Speech Pathologists - Part Time: 0.57

Podiatrists - Full Time: 0.01

Dentists - Full Time: 0.01

Number Of Beds

Total: 68

Total Certified: 68

Provided Services

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

Administration And Storage Of Blood Services Are Provided Onsite To Nonresidents

Administration And Storage Of Blood Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite To Non Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Diagnostic Xray Services Are Provided Onsite To Non Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary 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 Non Residents

Housekeeping Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Non Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Non Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Non Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work 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 Onsite To Non Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	19.5%
Wisconsin:	15.6%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	16.7%
Wisconsin:	11.2%

Percent of long-stay residents who lose too much weight

Here:	2.4%
Wisconsin:	7.2%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	7.5%
State:	4.7%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	4.8%
Wisconsin:	6.4%

Percent of long-stay residents who have depressive symptoms

Here:	2.6%
Wisconsin:	6.9%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	4.7%
Wisconsin:	3.4%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	97.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
Wisconsin:	98.4%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	92.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
State:	92.0%

Percent of long-stay residents who received an antipsychotic medication

Here:	16.3%
State:	18.8%

Process of Care

Heart Failure

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

This Nursing Home:	7.0%
Wisconsin:	98.3%

Pneumonia

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

This Nursing Home:	87.0%
State:	97.9%

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

Here:	97.0%
State:	97.6%

Percent of Patients Assessed and Given Influenza Vaccination

Here:	38.0%
State:	93.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

Here:	55.0%
Wisconsin:	96.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	13.2%
Wisconsin:	11.7%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	16.2%
State:	11.9%

30-Day Readmission Rates from Heart Failure

This Nursing Home:	23.6%
Wisconsin:	23.7%

30-Day Readmission Rates from Pneumonia

Here:	17.1%
Wisconsin:	18.1%

Complaint Deficiency

Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Some
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: 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: Few
Approved construction type or materials
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Proper medical gas storage and administration areas
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Potential for minimal harm
- Scope: Many
An approved back-up procedure for a faulty fire alarm system
- Harm: Potential for minimal harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- 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
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- 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: Many
Weekly inspections and monthly testing of generators
- Harm: Minimal harm or potential for actual harm
- Scope: Many

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.710
State:	0.887

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

This Nursing Home:	0.730
State:	0.546

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.440
Wisconsin:	1.429

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.360
State:	0.074

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.360
State:	0.079