General Information: BENEDICTINE MANOR OF LACROSSE
Nursing home name BENEDICTINE MANOR OF LACROSSE
Address2902 E AVENUE SOUTH
LA CROSSE, WI 54601
Phone number (608) 788-9870
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 80
Total number of residents 70
Perc of occupied beds 87
Sprinkler status Yes
Number of Facility Reported Incidents3
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BENEDICTINE MANOR OF LACROSSE
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 5
5
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: BENEDICTINE MANOR OF LACROSSE
National AverageWisconsin AverageBENEDICTINE MANOR OF LACROSSE
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 70
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.16 hours 3.86 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.55 hours 1.52 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.0 hours 1.2 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.55 hours 0.33 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.61 hours 2.34 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.07 hours
Health Survey: BENEDICTINE MANOR OF LACROSSE
Heath Survey Summary on 2014-02-20
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2013-01-17
Total Number of Health Deficiencies 11
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-10-26
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: BENEDICTINE MANOR OF LACROSSE
Inspection Results: 02/20/2014
Corrected Deficiency Scope and Severity
03/20/2014 Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
03/20/2014 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. Isolated/Minimal harm or potential for actual harm
03/20/2014 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated/Minimal harm or potential for actual harm
03/20/2014 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
03/20/2014 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
03/20/2014 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Actual harm
03/20/2014 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
03/20/2014 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
03/20/2014 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
03/20/2014 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
03/20/2014 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated/Minimal harm or potential for actual harm
03/20/2014 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 01/17/2013
Corrected Deficiency Scope and Severity
02/17/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
02/17/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
02/17/2013 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
02/17/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
02/17/2013 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
02/17/2013 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
02/17/2013 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
02/17/2013 Post nurse staffing information/data on a daily basis. Widespread/Potential for minimal harm
02/17/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm
02/17/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
02/17/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
Inspection Results: 10/26/2011
Corrected Deficiency Scope and Severity
11/14/2011 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
11/14/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Actual harm
11/14/2011 Develop policies and procedures for influenza and pneumococcal immunizations. Isolated/Minimal harm or potential for actual harm
11/14/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
11/14/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: BENEDICTINE MANOR OF LACROSSE
Fire Safety Survey Summary on 2014-03-07
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 2013-01-23
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-10-28
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: BENEDICTINE MANOR OF LACROSSE
Fire Safety Survey Results: 03/07/2014
Corrected Deficiency Severity
04/07/2014 Approved construction type or materials. Pattern/Minimal harm or potential for actual harm
04/07/2014 Emergency lighting that can last at least 1 1/2 hours. Isolated/Minimal harm or potential for actual harm
04/07/2014 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
04/07/2014 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
04/07/2014 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
04/07/2014 Restrictions on the use of highly flammable decorations. Isolated/Minimal harm or potential for actual harm
04/07/2014 Proper fire barriers, ventilation and signs for the transfilling of oxygen. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 01/23/2013
Corrected Deficiency Severity
02/15/2013 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
02/01/2013 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
02/15/2013 Automatic sprinkler systems that have been maintained in working order. Widespread/Potential for minimal harm

Resident Complaints: BENEDICTINE MANOR OF LACROSSE
Date Complaint Substantiated: 10/08/2013
CorrectedCategoryDeficiencySeverity
10/31/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
10/31/2013Allow residents the right to participate in the planning or revision of care and treatment. E

Quality Measures: BENEDICTINE MANOR OF LACROSSE
Quality Measures National Average Wisconsin Average BENEDICTINE MANOR OF LACROSSE
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% 17.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.0% 14.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 4.3% 6.8%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.0% 10.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.7% 32.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.8% 9.3%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.5% 6.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.8% 6.3%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 4.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.4% 97.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 98.2% 96.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 9.3%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% 21.5%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.9%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.6% 84.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 91.2% 84.0%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.5% 1.4%

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