ST DOMINIC VILLA

Nursing Home Inspector

2375 SINSINAWA RD
HAZEL GREEN, WI 53811
Grant County
Phone: 608-748-9814
Provider Number: 525660
Last Inspection: 08/17/2017

About the Nursing Home

Number of Beds: 62
Number of Residents: 62
Beds Available: 0
Percent Occupancy: 100%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non 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

 

3

Facility
10

County
19

WI
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2017
18

2016
13

2015

Medicare Ratings

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

 

Details by Inspection Date

8/17/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 9/12/2017
 

8/24/2016 Inspection

 
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 : Immediate 5 9/19/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 9/19/2016
 
Failed To: Ensure 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. Isolated : Minimal 3 9/19/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 9/19/2016
 

6/17/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 7/16/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/16/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 7/16/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 7/16/2015
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WI State Avg
Number of Residents 62 53.78 64.95
Registered Nurses 0.53 0.92 1.00
Licensed Practical / Vocational Nurses 0.29 0.44 0.56
Certified Nursing Assistants 1.88 2.48 2.54
Total Staff Hours 2.70 3.84 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 3 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 98
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 96
of long-stay residents experiencing one or more falls with major injury 5 5 3
of long-stay residents who have depressive symptoms 2 2 5
of long-stay residents who lose too much weight 3 4 7
of long-stay residents who received an antianxiety or hypnotic medication 14 25 18
of long-stay residents who received an antipsychotic medication 5 12 12
of long-stay residents who self-report moderate to severe pain 3 6 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 27 19 18
of long-stay residents whose need for help with daily activities has increased 18 16 13
of long-stay residents with a catheter inserted and left in their bladder 3 3 2
of long-stay residents with a urinary tract infection 0 1 3
of low risk long-stay residents who lose control of their bowels or bladder 27 37 46
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 94 90
of short-stay residents who newly received an antipsychotic medication 0 13 12
of short-stay residents who self-report moderate to severe pain 6 79 74
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100 2 1
of short-stay residents with pressure ulcers that are new or worsened 0 14 18