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Delavan Health Services

905 E Geneva St, Delavan, WI 53115
2627286319
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Overall CMS Rating

5.0/5

vs State Average: 3.0 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.7/5

5.0/5

Quality Measures

vs State Average: 3.1/5

0 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Dec 19, 2024 Provide and implement an infection prevention and control program. F
Aug 19, 2024 Respond appropriately to all alleged violations. D
Sep 27, 2023 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D
Sep 27, 2023 Ensure medication error rates are not 5 percent or greater. D
Sep 27, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D
Score
4.0
State Average
3.7
National Average
2.9
1.3 RN Hours / Resident / Day
3.4 Total Nurse Hours / Resident / Day
38.5% RN Turnover Rate
Score
5.0
State Average
3.1
National Average
3.6
4.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
39.4 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 NSHF OPERATIONS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST BAUMANN, TROY
5% OR GREATER INDIRECT OWNERSHIP INTEREST HOEHN, JEFFREY
5% OR GREATER INDIRECT OWNERSHIP INTEREST MILLS, DAVID
OPERATIONAL/MANAGERIAL CONTROL CIBC BANK USA
OPERATIONAL/MANAGERIAL CONTROL CLIFTONLARSONALLEN LLP
OPERATIONAL/MANAGERIAL CONTROL CONTINUUM THERAPY PARTNERS
OPERATIONAL/MANAGERIAL CONTROL NORTH SHORE HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL NSH REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL WIPFLI LLP
Recent Penalties

No penalty records found.

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