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Gundersen St Elizabeth'S Care Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | May 21, 2025 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E |
| — | May 21, 2025 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| — | May 21, 2025 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | C |
| — | May 21, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E |
| — | May 21, 2025 | Provide care or services that was trauma informed and/or culturally competent. | D |
0.8 RN Hours / Resident / Day
4.7 Total Nurse Hours / Resident / Day
31.3% RN Turnover Rate
2.0 Long-Stay QM Rating
— Short-Stay QM Rating
74.3 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST GUNDERSEN LUTHERAN HEALTH SYSTEM INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST BELLIN GUNDERSEN HEALTH SYSTEM INC
OPERATIONAL/MANAGERIAL CONTROL BELLIN GUNDERSEN HEALTH SYSTEM INC
OPERATIONAL/MANAGERIAL CONTROL GUNDERSEN LUTHERAN HEALTH SYSTEM INC
OPERATIONAL/MANAGERIAL CONTROL SPANO, DENNIS
CORPORATE DIRECTOR BESELER, KIMBERLY
CORPORATE DIRECTOR COENEN, DANIEL
CORPORATE DIRECTOR DENK, CINDY
CORPORATE DIRECTOR DURAND, EMILY
CORPORATE DIRECTOR EBERSOLD, MICHAEL
Recent Penalties
No penalty records found.
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