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Four Winds Manor

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About Four Winds Manor

General Information

Legal Business NameFour Winds Manor, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 2000 (17 years)
Capacity44
Residents42
Percent Occupied95%
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 Four Winds Manor

Four Winds Manor
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

October 11, 2016 - 6 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
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 InspectionKeep residents' personal and medical records private and confidential.

January 7, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionCompletely assess the resident at least every twelve months.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.

December 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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 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.
ESomePotential 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.
ESomePotential 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 InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Four Winds Manor 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 25min
2hr 25min
ReportedExpected
CNA
40min
35min
ReportedExpected
LPN
60min
50min
ReportedExpected
RN
4hr
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.1%
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
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
-
-
-
-
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
14.8%
14.8%
16.7%
8.3%
19.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
5.9%
0.0%
-
-
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
16.7%
14.3%
15.2%
18.8%
12.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who received an antipsychotic medication
9.1%
17.4%
-
0.0%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016WI
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
4.4%
4.0%
4.5%
3.5%
8.7%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who self-report moderate to severe pain
5.6%
17.1%
9.1%
3.0%
7.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who lose too much weight
7.1%
7.7%
4.0%
3.8%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of high risk long-stay residents with pressure ulcers
28.6%
20.6%
25.8%
30.3%
5.5%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
3.0%
0.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of long-stay residents with a urinary tract infection
0.0%
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
0.0%
0.0%
0.0%
3.4%
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

100.0%
100.0%
97.4%
97.9%
89.2%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.3%
97.2%
97.2%
97.2%
86.1%
Q4 2015Q1 2016Q2 2016Q3 2016WI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
77.2%
62.3%
60.9%
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
29.6%
19.4%
12.5%
20.5%
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
0.0%
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