OAKBROOK HEALTH AND REHABILITATION

Nursing Home Inspector

206 W PROSPECT ST
THORP, WI 54771
Clark County
Phone: 715-669-5321
Provider Number: 525472
Last Inspection: 07/12/2017

About the Nursing Home

Number of Beds: 58
Number of Residents: 41
Beds Available: 17
Percent Occupancy: 71%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
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

 

6

Facility
8

County
19

WI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

6

2017
7

2016
0

2015

Medicare Ratings

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

 

Details by Inspection Date

7/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 8/12/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 8/12/2017
 

8/24/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 9/24/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 9/24/2016
 

Complaint Investigation Deficiencies

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

5/31/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 7/1/2016
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WI State Avg
Number of Residents 41 66.25 64.95
Registered Nurses 0.91 1.16 1.00
Licensed Practical / Vocational Nurses 0.34 0.36 0.56
Certified Nursing Assistants 2.09 2.74 2.54
Total Staff Hours 3.34 4.26 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 0 2 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 98 98
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 99 96
of long-stay residents experiencing one or more falls with major injury 7 4 3
of long-stay residents who have depressive symptoms 1 7 5
of long-stay residents who lose too much weight 4 5 7
of long-stay residents who received an antianxiety or hypnotic medication 26 23 18
of long-stay residents who received an antipsychotic medication 9 20 12
of long-stay residents who self-report moderate to severe pain 6 5 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 19 18 18
of long-stay residents whose need for help with daily activities has increased 19 15 13
of long-stay residents with a catheter inserted and left in their bladder 0 2 2
of long-stay residents with a urinary tract infection 1 3 3
of low risk long-stay residents who lose control of their bowels or bladder 29 31 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 95 89 90
of short-stay residents who had an outpatient emergency department visit 10 14 12
of short-stay residents who made improvements in function 84 79 74
of short-stay residents who newly received an antipsychotic medication 0 1 1
of short-stay residents who self-report moderate to severe pain 18 15 18
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 60 82 86
of short-stay residents who were rehospitalized after a nursing home admission 14 18 18
of short-stay residents with pressure ulcers that are new or worsened 0 48 61