General Information: BOSCOBEL CARE AND REHAB
Nursing home name BOSCOBEL CARE AND REHAB
Address207 PARKER ST
BOSCOBEL, WI 53805
Phone number (608) 375-6342
Located within a hospital No
Type of ownership For profit - Individual
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 50
Total number of residents 43
Perc of occupied beds 86
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BOSCOBEL CARE AND REHAB
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 4
4
Quality Measures 3
3
Nursing Home Staffing Info: BOSCOBEL CARE AND REHAB
National AverageWisconsin AverageBOSCOBEL CARE AND REHAB
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 43
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.16 hours 4.29 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.55 hours 1.58 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.0 hours 0.51 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.55 hours 1.08 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.61 hours 2.71 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.0 hours
Health Survey: BOSCOBEL CARE AND REHAB
Heath Survey Summary on 2013-07-11
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2012-05-30
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-03-24
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: BOSCOBEL CARE AND REHAB
Inspection Results: 05/30/2012
Corrected Deficiency Scope and Severity
06/30/2012 Provide activities to meet the interests and needs of each resident. Pattern/Minimal harm or potential for actual harm
06/07/2012 Ensure services provided by the nursing facility meet professional standards of quality. Widespread /Minimal harm or potential for actual harm
06/12/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
06/06/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
06/30/2012 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated/Minimal harm or potential for actual harm
06/30/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
06/06/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 03/24/2011
Corrected Deficiency Scope and Severity
04/07/2011 Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Pattern/Minimal harm or potential for actual harm
04/08/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
04/08/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
04/07/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
04/08/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
04/07/2011 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
04/24/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
04/07/2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
04/20/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
04/08/2011 Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Isolated/Minimal harm or potential for actual harm
03/28/2011 Employ staff that are licensed, certified, or registered in accordance with state laws. Isolated/Minimal harm or potential for actual harm
04/05/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: BOSCOBEL CARE AND REHAB
Fire Safety Survey Summary on 2013-07-10
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-05-24
Total Number of Fire SafetyDeficiencies 14
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-03-21
Total Number of Fire SafetyDeficiencies 12
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: BOSCOBEL CARE AND REHAB
Fire Safety Survey Results: 07/10/2013
Corrected Deficiency Severity
08/12/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
08/12/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
08/12/2013 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
07/10/2013 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
08/12/2013 Properly maintained smoke detectors. Widespread /Minimal harm or potential for actual harm
07/11/2013 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
07/11/2013 Properly sized and located linen or trash receptacles. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/24/2012
Corrected Deficiency Severity
06/14/2012 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
05/24/2012 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
05/30/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
06/01/2012 Properly installed hallway dispensers for alcohol-based hand rub. Isolated/Minimal harm or potential for actual harm
06/25/2012 An approved back-up procedure for a faulty fire alarm system. Widespread /Minimal harm or potential for actual harm
05/28/2012 Back-up procedures in place for a faulty automatic sprinkler system. Widespread /Minimal harm or potential for actual harm
06/18/2012 Proper facilities for the use and storage of combustible liquids. Isolated/Minimal harm or potential for actual harm
06/28/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm
Properly maintained smoke detectors. Isolated/Minimal harm or potential for actual harm
06/18/2012 Exit stairways and towers that are smoke proof. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 03/21/2011
Corrected Deficiency Severity
04/19/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
04/12/2011 Exit stairways and towers that are smoke proof. Isolated/Minimal harm or potential for actual harm
04/19/2011 A two-hour-resistant firewall separation. Isolated/Minimal harm or potential for actual harm
05/26/2011 Proper stairway enclosures and vertical shafts. Isolated/Minimal harm or potential for actual harm
04/22/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
03/28/2011 A written emergency evacuation plan. Widespread /Minimal harm or potential for actual harm
04/26/2011 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
04/26/2011 Properly maintained smoke detectors. Widespread /Minimal harm or potential for actual harm
04/05/2011 Properly sized and located linen or trash receptacles. Isolated/Minimal harm or potential for actual harm
03/22/2011 Proper facilities for the use and storage of combustible liquids. Isolated/Minimal harm or potential for actual harm
04/09/2011 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
04/24/2011 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm

Resident Complaints: BOSCOBEL CARE AND REHAB
Not available

Quality Measures: BOSCOBEL CARE AND REHAB
Quality Measures National Average Wisconsin Average BOSCOBEL CARE AND REHAB
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.4% 18.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.0% 6.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 4.3% 3.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.0% 5.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.7% 37.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.8% 9.6%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.5% 7.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.8% 4.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 3.1%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 0.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.4% 98.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 98.2% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 11.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% 27.8%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 2.4%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.6% 96.7%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 91.2% 91.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.5% 0.0%

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