CLEARVIEW

Nursing Home Inspector

198 COUNTY DF
JUNEAU, WI 53039
Dodge County
Phone: 920-386-3400
Provider Number: 525453
Last Inspection: 10/20/2016

About the Nursing Home

Number of Beds: 130
Number of Residents: 129
Beds Available: 1
Percent Occupancy: 99%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Government - County
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

3

Facility
16

County
19

WI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2016
6

2015
23

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

10/20/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Employ staff that are licensed, certified, or registered in accordance with state laws. Isolated : Minimal 3 10/21/2016
 

8/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 9/18/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 9/18/2015
 

7/10/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 8/9/2014
 
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 8/9/2014
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/9/2014
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/9/2014
 
Failed To: Ensure 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. Isolated : Minimal 3 8/9/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/9/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/9/2014
 

Complaint Investigation Deficiencies

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

8/3/2017 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. Pattern : Minimal 4 9/1/2017
 
Failed To: Develop 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. Pattern : Minimal 4 9/1/2017
 

2/17/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 3/16/2016
 
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. Pattern : Minimal 4 3/16/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 3/16/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 3/16/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WI State Avg
Number of Residents 129 65.90 64.95
Registered Nurses 0.58 0.91 1.00
Licensed Practical / Vocational Nurses 0.50 0.43 0.56
Certified Nursing Assistants 3.69 2.43 2.54
Total Staff Hours 4.78 3.78 4.11

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WI State Avg%
of high risk long-stay residents with pressure ulcers 1 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 97 98
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 95 96
of long-stay residents experiencing one or more falls with major injury 3 4 3
of long-stay residents who have depressive symptoms 1 6 5
of long-stay residents who lose too much weight 4 8 7
of long-stay residents who received an antianxiety or hypnotic medication 18 17 18
of long-stay residents who received an antipsychotic medication 16 13 12
of long-stay residents who self-report moderate to severe pain 3 5 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 25 22 18
of long-stay residents whose need for help with daily activities has increased 15 12 13
of long-stay residents with a catheter inserted and left in their bladder 2 4 2
of long-stay residents with a urinary tract infection 5 3 3
of low risk long-stay residents who lose control of their bowels or bladder 59 46 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 85 88 90
of short-stay residents who had an outpatient emergency department visit 12 13 12
of short-stay residents who made improvements in function 97 79 74
of short-stay residents who newly received an antipsychotic medication 3 1 1
of short-stay residents who self-report moderate to severe pain 14 15 18
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82 87 86
of short-stay residents who were rehospitalized after a nursing home admission 10 16 18
of short-stay residents who were successfully discharged to the community 50 65 61
of short-stay residents with pressure ulcers that are new or worsened 1 0 0