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Villa Loretto Nursing Home

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About Villa Loretto Nursing Home

General Information

Legal Business NameSsck Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1997 (19 years)
Capacity50
Residents39
Percent Occupied78%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Villa Loretto Nursing Home

Villa Loretto Nursing Home
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Wisconsin Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

May 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
ESomePotential for HarmFire Safety InspectionProper backup exit lighting.
ESomePotential for HarmFire Safety InspectionProtected exits that allow the resident to escape the building.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionLarge enough exits.
DFewPotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.

June 12, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
DFewPotential for HarmHealth InspectionEnsure 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.

June 10, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Villa Loretto Nursing Home require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 30min
ReportedExpected
CNA
30min
40min
ReportedExpected
LPN
1hr 10min
55min
ReportedExpected
RN
4hr 15min
4hr
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
97.1%
97.1%
97.6%
Q1 2015Q2 2015Q3 2015WI
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
97.9%
Q1 2015Q2 2015Q3 2015WI
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
45.1%
Q1 2015Q2 2015Q3 2015WI
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
10.0%
12.1%
10.8%
13.3%
Q1 2015Q2 2015Q3 2015WI
Received an Antipsychotic Medication
-
18.2%
19.4%
14.3%
Q1 2015Q2 2015Q3 2015WI
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
14.1%
9.3%
Q1 2015Q2 2015Q3 2015WI
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
3.2%
2.9%
5.6%
7.5%
Q1 2015Q2 2015Q3 2015WI
Lose Too Much Weight
-
-
-
4.3%
Q1 2015Q2 2015Q3 2015WI
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
3.2%
0.0%
5.3%
5.6%
Q1 2015Q2 2015Q3 2015WI
Have Depressive Symptoms
0.0%
2.9%
5.6%
4.5%
Q1 2015Q2 2015Q3 2015WI
With a Urinary Tract Infection
0.0%
0.0%
0.0%
3.1%
Q1 2015Q2 2015Q3 2015WI
Experiencing One or More Falls with Major Injury
-
0.0%
0.0%
3.9%
Q1 2015Q2 2015Q3 2015WI
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015WI
Were Physically Restrained

Quality Measures for Short Stay Residents

95.7%
100.0%
100.0%
89.6%
Q1 2015Q2 2015Q3 2015WI
Assessed and Appropriately Given the Pneumococcal Vaccine
90.9%
86.4%
86.4%
88.4%
Q1 2015Q2 2015Q3 2015WI
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
10.0%
-
-
20.3%
Q1 2015Q2 2015Q3 2015WI
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
1.2%
Q1 2015Q2 2015Q3 2015WI
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015WI
With Pressure Ulcers That Are New or Worsened