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Pine Manor Health And Rehabilitation

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About Pine Manor Health And Rehabilitation

General Information

Legal Business NameCloverleaf Healthcare Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 1, 1992 (25 years)
Capacity95
Residents50
Percent Occupied53%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Pine Manor Health And Rehabilitation

Pine Manor Health And Rehabilitation
was reviewed by Medicare to have a rating of 2 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

March 8, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$20,313 fine
LManyImmediate JeopardyHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
LManyImmediate JeopardyHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
FManyPotential for HarmHealth InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth Inspection1) 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.
ESomePotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
ESomePotential for HarmHealth InspectionDevelop 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.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
DFewPotential for HarmHealth InspectionGive 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.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

October 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

February 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmHealth InspectionAllow residents to easily view the results of the nursing home's most recent inspection.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

January 12, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure 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.

September 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pine Manor Health And Rehabilitation 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 45min
2hr 25min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
4hr
3hr 55min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

100.0%
93.9%
93.9%
93.9%
96.9%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
95.1%
100.0%
100.0%
97.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
46.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
10.0%
8.3%
0.0%
5.7%
19.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
28.0%
21.8%
30.8%
-
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
26.8%
32.4%
30.6%
21.6%
12.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who received an antipsychotic medication
23.5%
19.4%
37.9%
29.2%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents whose need for help with daily activities has increased
17.6%
14.2%
5.9%
6.3%
8.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who self-report moderate to severe pain
4.4%
4.9%
0.0%
8.1%
7.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who lose too much weight
2.7%
6.2%
0.0%
0.0%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of high risk long-stay residents with pressure ulcers
5.1%
5.3%
7.9%
0.0%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
0.0%
2.7%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents with a urinary tract infection
4.4%
2.4%
2.6%
0.0%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
2.1%
0.0%
1.9%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents with a catheter inserted and left in their bladder
6.7%
7.3%
0.0%
0.0%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

79.4%
81.0%
89.7%
100.0%
89.2%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.2%
70.7%
70.7%
70.7%
86.1%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
73.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
8.3%
19.0%
-
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016WI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
0.0%
-
-
1.2%
Q4 2015Q1 2016Q2 2016Q3 2016WI
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents with pressure ulcers that are new or worsened