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Villa At Lincoln Park (The)

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About Villa At Lincoln Park (The)

General Information

Legal Business NameVilla At Lincoln Park LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity122
Residents79
Percent Occupied65%
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 At Lincoln Park (The)

Villa At Lincoln Park (The)
was reviewed by Medicare to have a rating of 1 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

October 11, 2016 - 6 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 19 days
JFewImmediate JeopardyComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
FManyPotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionKeep residents' personal and medical records private and confidential.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
CManyPotential for Minimal HarmComplaintGive residents a notice of rights, rules, services and charges.
CManyPotential for Minimal HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
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 HarmComplaint+InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 HarmComplaint+InspectionTell the resident or the residentís representative in writing how long the nursing home will hold the residentís bed in cases of transfer to a hospital or therapeutic leave.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

April 27, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$5,850 fine
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint1) 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.
DFewPotential for HarmComplaintLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

July 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,150 fine
FManyPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
CManyPotential for Minimal 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.
CManyPotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmComplaint+InspectionReasonably accommodate the needs and preferences of each resident.

May 13, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$9,588 fine
JFewImmediate JeopardyComplaintEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmComplaint1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

December 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

September 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

May 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
CManyPotential for Minimal HarmComplaint+InspectionDispose of garbage and refuse properly.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each 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 Villa At Lincoln Park (The) 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.

1hr 60min
2hr 20min
ReportedExpected
CNA
30min
40min
ReportedExpected
LPN
40min
1hr 10min
ReportedExpected
RN
3hr 10min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.6%
100.0%
100.0%
100.0%
96.9%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
98.3%
100.0%
100.0%
97.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.4%
74.3%
69.4%
63.2%
46.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of low risk long-stay residents who lose control of their bowels or bladder
26.8%
26.5%
22.0%
26.9%
19.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
20.9%
18.3%
18.0%
15.5%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents whose ability to move independently worsened
11.1%
10.3%
7.0%
8.6%
12.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who received an antipsychotic medication
14.8%
17.8%
18.4%
10.0%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents whose need for help with daily activities has increased
4.2%
0.0%
1.5%
3.2%
8.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who self-report moderate to severe pain
14.5%
19.0%
14.3%
7.1%
7.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who lose too much weight
8.7%
2.4%
2.4%
7.3%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of high risk long-stay residents with pressure ulcers
0.0%
2.0%
1.8%
2.0%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who have depressive symptoms
9.7%
5.2%
7.1%
1.8%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents with a urinary tract infection
3.2%
5.2%
7.0%
5.2%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents experiencing one or more falls with major injury
11.4%
2.7%
2.9%
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

95.3%
95.6%
92.7%
92.0%
89.2%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
90.2%
90.2%
90.2%
86.1%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
62.3%
65.9%
65.1%
66.4%
73.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who made improvements in function
25.5%
29.6%
27.3%
25.7%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
0.0%
1.2%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who newly received an antipsychotic medication
0.9%
0.4%
0.0%
0.4%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents with pressure ulcers that are new or worsened