General Information: ANNA JOHN NURSING HOME
Nursing home name ANNA JOHN NURSING HOME
AddressW846 CTY RD EE
DE PERE, WI 54115
Phone number (920) 869-2797
Located within a hospital No
Type of ownership Non profit - Other
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 48
Total number of residents 21
Perc of occupied beds 44
Sprinkler status fully sprinklered
Last health survey date 06/15/2009
Fire survey date: 06/11/2009
Ratings Summary: ANNA JOHN NURSING HOME
Overall rating 4 out of 5 stars
4 out of 5 stars
Nursing Home Staffing 4 out of 5 stars
4 out of 5 stars
Registered Nurses only 4 out of 5 stars
4 out of 5 stars
Health Inspections 4 out of 5 stars
4 out of 5 stars
Quality Measures 4 out of 5 stars
4 out of 5 stars
Nursing Home Staffing Info: ANNA JOHN NURSING HOME
National AverageANNA JOHN NURSING HOME
Overall staff rating Not Available. 4 out of 5 stars
4 out of 5 stars
Registered Nurses only rating Not Available 4 out of 5 stars
4 out of 5 stars
Total Number of Residents 94.2 21
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.4 hours 2.28 hours
Registered Nurses Hours per Residents per Day 0.6 hours 0.84 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.8 hours 1.44 hours
Certified Nursing Assistants Hours per Residents per Day 0.6 hours 0.84 hours
Health Inpections: ANNA JOHN NURSING HOME
Inspection Results: 06/15/2009
CorrectedCategoryDeficiencySeverity
06/25/2009Administration Deficiencies Make sure that nurse aides show they have the skills to be able to care for residents. D
06/25/2009Environmental Deficiencies Make sure that staff members wash their hands when needed. D
07/10/2009Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. E
Inspection Results: 06/05/2008
CorrectedCategoryDeficiencySeverity
06/30/2008Environmental Deficiencies Make sure that staff members wash their hands when needed. E
06/30/2008Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
06/30/2008Quality Care Deficiencies Give professional services that follow each resident's written care plan. D
06/30/2008Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D

Fire Safety Inpections: ANNA JOHN NURSING HOME
Inspection Results: 06/11/2009
CorrectedCategoryDeficiencySeverity
07/02/2009Automatic Sprinkler Systems Deficiencies back-up procedures in place for a faulty automatic sprinkler system. F
07/02/2009Electrical Deficiencies properly installed electrical wiring and equipment. D
07/02/2009Fire Alarm Systems Deficiencies a fire alarm system that can be heard throughout the facility. F
Inspection Results: 06/04/2008
CorrectedCategoryDeficiencySeverity
07/09/2008Automatic Sprinkler Systems Deficiencies automatic sprinkler systems that have been maintained in working order. F
07/13/2008Electrical Deficiencies weekly inspections and monthly testing of generators. F
06/20/2008Medical Gases and Anesthetizing Areas Deficiencies proper medical gas storage and administration areas. F
06/06/2008Automatic Sprinkler Systems Deficiencies back-up procedures in place for a faulty automatic sprinkler system. F
06/06/2008Automatic Sprinkler Systems Deficiencies an approved automatic sprinkler system connected to the fire alarm system. D
06/16/2008Fire Alarm Systems Deficiencies an approved installation, maintenance and testing program for fire alarm systems. F
06/06/2008Emergency Plans and Fire Drills Deficiencies did not have a written emergency evacuation plan. F
07/13/2008Illumination and Emergency Power Deficiencies proper backup exit lighting. C
06/13/2008Hazardous Area Deficiencies construction that can resist fire for one hour or an approved fire extinguishing system. E
06/25/2008Corridor Walls and Doors Deficiencies corridor and hallway doors that block smoke. F

Resident Complaints: ANNA JOHN NURSING HOME
Not available

Quality Measures: ANNA JOHN NURSING HOME
Quality MeasuresNational AverageANNA JOHN NURSING HOME
Overall quality rating Not Available 4 out of 5 stars
4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who were physically restrained 3% 0%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 89% 90+%
Percent of long-stay residents who are more depressed or anxious 14% 9%
Percent of long-stay residents given influenza vaccination during the flu season 91% 90+%
Percent of low-risk long-stay residents who have pressure sores 2% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 5% 6%
Percent of long-stay residents whose ability to move about in and around their room got worse 11% 6%
Percent of long-stay residents who spend most of their time in bed or in a chair 4% 0%
Percent of high-risk long-stay residents who have pressure sores 11% 6%
Percent of long-stay residents who had a urinary tract infection 9% 10%
Percent of long-stay residents who lose too much weight 8% 9%
Percent of long-stay residents who have moderate to severe pain 3% 7%
Percent of long-stay residents whose need for help with daily activities has increased 14% 6%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 50% 72%
Short-Stay Residents
Percent of short-stay residents who have delirium 2% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents who have pressure sores 13% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Percent of short-stay residents who had moderate to severe pain 19% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
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% Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety
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