Ledge View Nursing Center

3737 Dickinson Rd
De Pere, WI 54115
Brown County
Phone: 920-336-7733
Provider Number: 525515
Last Inspection: 06/17/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
32
Number of Residents
Number of
Residents
25
Number of Beds Available
Beds Available
7
Percent Occupancy
Percent Occupancy
78%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Individual
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • WI
  • USA
  • 26
  • 23
  • 23
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 26
  • 7
  • 12
Lower Numbers are Better

Details by Inspection Date

 

6/17/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 7/10/2015
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 7/10/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 7/10/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/8/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 7/10/2015
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 7/8/2015
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 7/8/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 7/23/2015
 

8/6/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 8/29/2014
Failed To: Make sure that doctors visit residents regularly, as required. Pattern : Minimal 4 8/29/2014
 

8/8/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/27/2013
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 8/27/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 8/27/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/27/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

6/17/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) 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. Isolated : Minimal 3 7/8/2015
 

12/30/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) 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. Isolated : Minimal 3 1/23/2015

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WI State Avg
Number of Residents 25 70.29 68.95
Registered Nurses 0.89 1.00 0.99
Licensed Practical / Vocational Nurses 0.59 0.59 0.54
Certified Nursing Assistants 2.39 2.63 2.53
Total Staff Hours 3.87 4.22 4.07

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WI State Avg%
High Risk Long Stay Residents With Pressure Ulcers 5 5 4
Long Stay Residents Experiencing One or More Falls with Major Injury 0 2 3
Long Stay Residents Who Have Depressive Symptoms 4 4 5
Long Stay Residents Who Lose Too Much Weight 7 7 7
Long Stay Residents Who Received an Antipsychotic Medication 9 14 13
Long Stay Residents Who Self Report Moderate to Severe Pain 10 12 9
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 3 3 2
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 6 2 2
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 26 15 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 6 4 3
Long Stay Residents With a Urinary Tract Infection 14 4 4
Short Stay Residents Who Newly Received an Antipsychotic Medication 0 51 45
Short Stay Residents Who Self Report Moderate to Severe Pain 16 1 1
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 26 22 20
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 25 8 10
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 14 11