US Nursing Home Finder™: ALEXIAN VILLAGE OF MILWAUKEE MILWAUKEE WI

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General Information: ALEXIAN VILLAGE OF MILWAUKEE
Nursing home name	ALEXIAN VILLAGE OF MILWAUKEE
Address	9255 N 76TH ST MILWAUKEE, WI 53223
Phone number	(414) 355-9300
Located within a hospital	No
Type of ownership	Non profit - Corporation
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	Yes
Resident and family councils	BOTH
Certified number of beds	108
Total number of residents	100
Perc of occupied beds	93
Sprinkler status	fully sprinklered
Last health survey date	09/01/2009
Fire survey date:	10/27/2009

Ratings Summary: ALEXIAN VILLAGE OF MILWAUKEE
Overall rating	2 out of 5 stars
Nursing Home Staffing	5 out of 5 stars
Registered Nurses only	5 out of 5 stars
Health Inspections	2 out of 5 stars
Quality Measures	1 out of 5 stars

Nursing Home Staffing Info: ALEXIAN VILLAGE OF MILWAUKEE
	National Average	ALEXIAN VILLAGE OF MILWAUKEE
Overall staff rating	Not Available.	5 out of 5 stars
Registered Nurses only rating	Not Available	5 out of 5 stars
Total Number of Residents	94.2	100
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.67 hours
Registered Nurses Hours per Residents per Day	0.6 hours	1.01 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.66 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	1.01 hours

Health Inpections: ALEXIAN VILLAGE OF MILWAUKEE
Inspection Results: 09/01/2009
Corrected	Category	Deficiency	Severity
10/13/2009	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	D
10/13/2009	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
10/13/2009	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	D
11/04/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	F
10/13/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
10/13/2009	Administration Deficiencies	post nurse staffing information.	C
10/13/2009	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
10/13/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
10/13/2009	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
10/13/2009	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
10/13/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
10/13/2009	Mistreatment Deficiencies	1) Hire only people who have 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
10/13/2009	Resident Rights Deficiencies	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	E
10/13/2009	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
10/13/2009	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
10/13/2009	Resident Assessment Deficiencies	Get doctor orders for the resident's immediate care when admitted.	D
Inspection Results: 09/15/2008
Corrected	Category	Deficiency	Severity
10/15/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	F
10/15/2008	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	E
10/15/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
10/15/2008	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
Inspection Results: 09/12/2007
Corrected	Category	Deficiency	Severity
10/12/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	E
10/12/2007	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	B
10/12/2007	Environmental Deficiencies	Get rid of garbage properly.	C
10/12/2007	Mistreatment Deficiencies	1) Hire only people who have 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

Fire Safety Inpections: ALEXIAN VILLAGE OF MILWAUKEE
Inspection Results: 10/27/2009
Corrected	Category	Deficiency	Severity
11/03/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
11/03/2009	Electrical Deficiencies	weekly inspections and monthly testing of generators.	E
10/29/2009	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	E
11/03/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	E
11/27/2009	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	D
10/28/2009	Exits and Egress Deficiencies	exits that are accessible at all times.	E
11/15/2009	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
10/28/2009	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	E
10/29/2009	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
10/29/2009	Building Construction Deficiencies	a two-hour-resistant firewall in common walls.	E
Inspection Results: 09/09/2008
Corrected	Category	Deficiency	Severity
10/15/2008	Illumination and Emergency Power Deficiencies	proper backup exit lighting.	D
10/15/2008	Electrical Deficiencies	weekly inspections and monthly testing of generators.	F
10/15/2008	Building Construction Deficiencies	fire-resistant Interior walls.	E
10/15/2008	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	E
10/15/2008	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	E
10/15/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	E
10/15/2008	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	F
10/15/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	C
10/15/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
10/15/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
10/15/2008	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	E
10/15/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
10/15/2008	Building Construction Deficiencies	a two-hour-resistant firewall in common walls.	E
Inspection Results: 09/11/2007
Corrected	Category	Deficiency	Severity
10/12/2007	Hazardous Area Deficiencies	properly installed hallway dispensers for alcohol-based hand rub.	E
10/12/2007	Fire Alarm Systems Deficiencies	an approved back-up procedure for a faulty fire alarm system.	C
10/12/2007	Automatic Sprinkler Systems Deficiencies	back-up procedures in place for a faulty automatic sprinkler system.	C
10/12/2007	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
10/12/2007	Electrical Deficiencies	weekly inspections and monthly testing of generators.	C
10/12/2007	Medical Gases and Anesthetizing Areas Deficiencies	proper fire barriers, ventilation and signs for the transport of oxygen.	D
10/12/2007	Medical Gases and Anesthetizing Areas Deficiencies	proper medical gas storage and administration areas.	D
10/12/2007	Furnishings and Decorations Deficiencies	properly sized and located linen or trash receptacles.	D
10/12/2007	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	D
10/12/2007	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	E
10/12/2007	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	F
10/12/2007	Vertical Openings Deficiencies	protected exits that allow the resident to escape the building.	E
10/12/2007	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	E
10/12/2007	Building Construction Deficiencies	a two-hour-resistant firewall in common walls.	E

Resident Complaints: ALEXIAN VILLAGE OF MILWAUKEE
Date Complaint Substantiated: 04/29/2009
Corrected	Category	Deficiency	Severity
05/29/2009	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D

Quality Measures: ALEXIAN VILLAGE OF MILWAUKEE
Quality Measures	National Average	ALEXIAN VILLAGE OF MILWAUKEE
Overall quality rating	Not Available	1 out of 5 stars
Long-Stay Residents
Percent of long-stay residents whose need for help with daily activities has increased	14%	19%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who lose too much weight	8%	12%
Percent of high-risk long-stay residents who have pressure sores	11%	23%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	8%
Percent of long-stay residents who are more depressed or anxious	14%	23%
Percent of long-stay residents who have moderate to severe pain	3%	1%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	46%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	4%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents who had a urinary tract infection	9%	10%
Percent of low-risk long-stay residents who have pressure sores	2%	7%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	19%
Short-Stay Residents
Percent of short-stay residents who have delirium	2%	1%
Percent of short-stay residents who had moderate to severe pain	19%	17%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%
Percent of short-stay residents who have pressure sores	13%	21%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety