General Information: BENEDICTINE MANOR OF WAUSAU
Nursing home name BENEDICTINE MANOR OF WAUSAU
Address1821 N 4TH AVE
WAUSAU, WI 54401
Phone number (715) 675-9451
Located within a hospital No
Type of ownership Non profit - Church related
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 90
Total number of residents 69
Perc of occupied beds 76
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints4
Number of Fines6
Total Amount of Fines$53028
Total Number of Penalties0
Total Number of Penalties6
Ratings Summary: BENEDICTINE MANOR OF WAUSAU
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: BENEDICTINE MANOR OF WAUSAU
National AverageWisconsin AverageBENEDICTINE MANOR OF WAUSAU
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 69
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.16 hours 4.43 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.55 hours 1.61 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.0 hours 1.13 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.55 hours 0.48 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.61 hours 2.83 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.04 hours
Health Survey: BENEDICTINE MANOR OF WAUSAU
Heath Survey Summary on 2013-09-24
Total Number of Health Deficiencies 15
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2012-07-17
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Isolated /Immediate jeopardy to resident health or safety
Heath Survey Summary on 2011-07-29
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: BENEDICTINE MANOR OF WAUSAU
Inspection Results: 09/24/2013
Corrected Deficiency Scope and Severity
10/14/2013 Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Isolated/Minimal harm or potential for actual harm
10/14/2013 Give residents a notice of rights, rules, services and charges. Widespread/Potential for minimal harm
10/14/2013 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
10/14/2013 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
10/14/2013 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
10/14/2013 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern/Minimal harm or potential for actual harm
10/14/2013 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
10/14/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
10/14/2013 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
10/14/2013 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
10/14/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Actual harm
10/14/2013 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
10/14/2013 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
10/14/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
10/14/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 07/17/2012
Corrected Deficiency Scope and Severity
08/18/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Actual harm
08/18/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
08/18/2012 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. Pattern/Actual harm
08/18/2012 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. Pattern/Minimal harm or potential for actual harm
08/18/2012 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. Pattern/Minimal harm or potential for actual harm
08/18/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Actual harm
08/18/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated /Immediate jeopardy to resident health or safety
08/18/2012 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
08/18/2012 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
Inspection Results: 07/29/2011
Corrected Deficiency Scope and Severity
09/16/2011 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
08/30/2011 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
09/01/2011 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
09/09/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
08/26/2011 Encode each residents assessment data and transmit these data to the State within 7 days of assessment. Widespread/Potential for minimal harm
09/16/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
08/30/2011 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
08/30/2011 Ensure residents maintain acceptable nutritional status. Isolated/Actual harm
08/30/2011 Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern/Minimal harm or potential for actual harm
08/18/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
08/15/2011 Make sure that doctors visit residents regularly, as required. Isolated/Minimal harm or potential for actual harm
08/23/2011 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

Fire Safety Survey: BENEDICTINE MANOR OF WAUSAU
Fire Safety Survey Summary on 2013-10-01
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-07-12
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-08-02
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: BENEDICTINE MANOR OF WAUSAU
Fire Safety Survey Results: 10/01/2013
Corrected Deficiency Severity
10/20/2013 Fire resistant interior walls. Pattern/Minimal harm or potential for actual harm
10/20/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
10/20/2013 Record of quarterly fire drills for each shift under varying conditions. Widespread/Potential for minimal harm
10/20/2013 An approved automatic sprinkler system connected to the fire alarm system. Isolated/Minimal harm or potential for actual harm
10/20/2013 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/12/2012
Corrected Deficiency Severity
08/18/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/02/2011
Corrected Deficiency Severity
08/03/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
08/03/2011 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

Resident Complaints: BENEDICTINE MANOR OF WAUSAU
Date Complaint Substantiated: 12/17/2013
CorrectedCategoryDeficiencySeverity
01/08/2014Allow residents the right to participate in the planning or revision of care and treatment. D
01/08/20141) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. C
01/08/2014Provide necessary care and services to maintain or improve the highest well being of each resident . D
Date Complaint Substantiated: 03/22/2013
CorrectedCategoryDeficiencySeverity
04/10/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. G
Date Complaint Substantiated: 06/22/2011
CorrectedCategoryDeficiencySeverity
07/14/2011Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
07/14/2011Provide necessary care and services to maintain or improve the highest well being of each resident . J
07/14/2011Have a program that investigates, controls and keeps infection from spreading. F
06/22/20111) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. C
07/14/2011Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. D

Quality Measures: BENEDICTINE MANOR OF WAUSAU
Quality Measures National Average Wisconsin Average BENEDICTINE MANOR OF WAUSAU
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% 13.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.0% 9.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 4.3% 10.1%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.0% 7.8%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.7% 57.0%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.8% 3.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.5% 10.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.8% 6.7%
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% 0.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.4% 98.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 98.2% 99.4%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 7.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% 18.4%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 1.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.6% 84.8%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 91.2% 84.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.5% 1.2%

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