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Cedar Crest Health Center

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About Cedar Crest Health Center

General Information

Legal Business NameCedar Crest, Inc.
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 20, 1999 (19 years)
Capacity83
Residents75
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cedar Crest Health Center

Cedar Crest Health Center
was reviewed by Medicare to have a rating of 4 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

February 25, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

December 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

January 21, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cedar Crest Health Center 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.

3hr 5min
2hr 35min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
1hr 30min
1hr 5min
ReportedExpected
RN
5hr 5min
4hr 25min
ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

98.7%
98.6%
98.6%
98.6%
96.9%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
97.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
56.5%
63.6%
57.1%
65.2%
46.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of low risk long-stay residents who lose control of their bowels or bladder
8.2%
8.2%
7.4%
6.2%
19.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
31.7%
31.3%
26.9%
17.1%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents whose ability to move independently worsened
12.3%
13.4%
13.6%
15.1%
12.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who received an antipsychotic medication
18.5%
19.6%
12.5%
4.8%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents whose need for help with daily activities has increased
10.5%
9.4%
13.8%
8.2%
8.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who self-report moderate to severe pain
7.6%
5.9%
3.3%
1.9%
7.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who lose too much weight
3.3%
4.9%
5.6%
6.5%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of high risk long-stay residents with pressure ulcers
1.5%
3.1%
0.0%
0.0%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who have depressive symptoms
13.6%
2.9%
6.7%
5.7%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents with a urinary tract infection
3.0%
0.0%
0.0%
0.0%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents experiencing one or more falls with major injury
1.8%
1.6%
0.0%
0.0%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
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

90.4%
92.1%
96.6%
97.6%
89.2%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
94.7%
94.7%
94.7%
86.1%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
71.9%
81.7%
87.4%
80.9%
73.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who made improvements in function
31.0%
26.7%
26.9%
18.0%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
3.0%
2.1%
1.2%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
1.1%
1.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents with pressure ulcers that are new or worsened