General Information: APPLETON HEALTH CARE CENTER
Nursing home name APPLETON HEALTH CARE CENTER
Address2915 N MEADE ST
APPLETON, WI 54911
Phone number (920) 993-6800
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 150
Total number of residents 102
Perc of occupied beds 68
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints9
Number of Fines4
Total Amount of Fines$75075
Total Number of Penalties1
Total Number of Penalties5
Ratings Summary: APPLETON HEALTH CARE CENTER
Overall rating 2
2
Nursing Home Staffing 4
4
Registered Nurses only 5
5
Health Inspections 1
1
Quality Measures 4
4
Nursing Home Staffing Info: APPLETON HEALTH CARE CENTER
National AverageWisconsin AverageAPPLETON HEALTH CARE CENTER
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 102
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.16 hours 3.48 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.55 hours 1.27 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.0 hours 0.96 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.55 hours 0.32 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.61 hours 2.21 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.05 hours
Health Survey: APPLETON HEALTH CARE CENTER
Heath Survey Summary on 2013-04-17
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-04-25
Total Number of Health Deficiencies 19
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2011-05-20
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: APPLETON HEALTH CARE CENTER
Inspection Results: 04/17/2013
Corrected Deficiency Scope and Severity
05/08/2013 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
05/08/2013 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
05/08/2013 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
05/08/2013 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern/Minimal harm or potential for actual harm
05/08/2013 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
05/08/2013 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
05/08/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
05/08/2013 Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern/Minimal harm or potential for actual harm
Inspection Results: 04/25/2012
Corrected Deficiency Scope and Severity
05/25/2012 Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread /Minimal harm or potential for actual harm
05/25/2012 Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern/Minimal harm or potential for actual harm
05/25/2012 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Widespread/Potential for minimal harm
05/25/2012 Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread /Minimal harm or potential for actual harm
05/25/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread/Potential for minimal harm
05/25/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
05/25/2012 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
05/25/2012 Make sure that doctors visit residents regularly, as required. Isolated/Minimal harm or potential for actual harm
05/25/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
05/25/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
05/25/2012 Develop policies and procedures for influenza and pneumococcal immunizations. Isolated/Minimal harm or potential for actual harm
05/25/2012 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. Widespread /Minimal harm or potential for actual harm
05/25/2012 Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to residents clinical condition. Isolated/Actual harm
05/25/2012 Keep each resident free from physical restraints, unless needed for medical treatment. Isolated/Minimal harm or potential for actual harm
05/25/2012 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
05/25/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
05/25/2012 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
05/25/2012 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
05/25/2012 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
Inspection Results: 05/20/2011
Corrected Deficiency Scope and Severity
06/13/2011 Give residents a notice of rights, rules, services and charges. Isolated/Minimal harm or potential for actual harm
06/13/2011 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
07/08/2011 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
07/08/2011 Provide care by qualified persons according to each resident's written plan of care. Pattern/Minimal harm or potential for actual harm
06/13/2011 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. Pattern/Minimal harm or potential for actual harm
06/13/2011 Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated/Minimal harm or potential for actual harm
06/13/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
06/13/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: APPLETON HEALTH CARE CENTER
Fire Safety Survey Summary on 2013-04-17
Total Number of Fire SafetyDeficiencies 10
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-04-23
Total Number of Fire SafetyDeficiencies 9
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-05-23
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: APPLETON HEALTH CARE CENTER
Fire Safety Survey Results: 04/17/2013
Corrected Deficiency Severity
04/24/2013 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Pattern/Minimal harm or potential for actual harm
04/17/2013 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
04/17/2013 A written emergency evacuation plan. Widespread /Minimal harm or potential for actual harm
04/19/2013 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
04/30/2013 A fire alarm system that can be heard throughout the facility. Pattern/Minimal harm or potential for actual harm
04/30/2013 Properly maintained smoke detectors. Widespread /Minimal harm or potential for actual harm
05/03/2013 An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm
05/14/2013 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
04/17/2013 Portable fire extinguishers. Pattern/Minimal harm or potential for actual harm
04/22/2013 Properly protected cooking facilities. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/23/2012
Corrected Deficiency Severity
04/24/2012 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
05/25/2012 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
05/25/2012 A written emergency evacuation plan. Pattern/Minimal harm or potential for actual harm
05/08/2012 An approved automatic sprinkler system connected to the fire alarm system. Pattern/Minimal harm or potential for actual harm
04/25/2012 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
05/22/2012 Signs that state that exit doors are to be kept closed. Pattern/Minimal harm or potential for actual harm
04/24/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
04/25/2012 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
04/26/2012 Proper fire barriers, ventilation and signs for the transfilling of oxygen. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/23/2011
Corrected Deficiency Severity
06/03/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
06/03/2011 Signs that state that exit doors are to be kept closed. Pattern/Minimal harm or potential for actual harm
06/06/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
06/03/2011 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
06/03/2011 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
06/03/2011 Proper fire barriers, ventilation and signs for the transfilling of oxygen. Pattern/Minimal harm or potential for actual harm
06/03/2011 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
06/03/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: APPLETON HEALTH CARE CENTER
Date Complaint Substantiated: 02/26/2014
CorrectedCategoryDeficiencySeverity
02/26/2014Give residents a notice of rights, rules, services and charges. C
03/21/2014Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
03/21/2014Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D
Date Complaint Substantiated: 10/10/2013
CorrectedCategoryDeficiencySeverity
11/07/20131) 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. D
11/07/2013Provide care by qualified persons according to each resident's written plan of care. D
11/07/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 04/03/2013
CorrectedCategoryDeficiencySeverity
04/23/2013Provide housekeeping and maintenance services. D
04/23/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
04/23/2013Provide necessary care and services to maintain or improve the highest well being of each resident . G
Date Complaint Substantiated: 03/11/2013
CorrectedCategoryDeficiencySeverity
05/08/20131) 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. J
05/08/2013Develop 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. J
04/08/2013Keep clinical record information safe. E
04/08/20131) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. E
04/08/2013Allow residents the right to participate in the planning or revision of care and treatment. D
04/17/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. J
Date Complaint Substantiated: 04/25/2012
CorrectedCategoryDeficiencySeverity
05/25/2012Provide medically-related social services to help each resident achieve the highest possible quality of life. G

Quality Measures: APPLETON HEALTH CARE CENTER
Quality Measures National Average Wisconsin Average APPLETON HEALTH CARE CENTER
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.4% 13.3%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.0% 20.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 4.3% 0.7%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.0% 7.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.7% 39.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.8% 4.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.5% 4.0%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.8% 2.9%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 1.1%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 3.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.4% 91.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 98.2% 99.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 18.4%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% 31.5%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.6% 50.2%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 91.2% 90.6%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.5% 1.5%

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