Appleton Municipal Hospital
30 South Behl Street, Appleton, MN 56208


Appleton Municipal Hospital is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 245231. The address is 30 South Behl Street, Appleton, MN 56208. The zip code is 56208. The phone number is 3202892422.


Appleton Municipal Hospital · 30 South Behl Street, Appleton, MN 56208

Federal Provider Number 245231
Provider Name APPLETON MUNICIPAL HOSPITAL
Address 30 SOUTH BEHL STREET
APPLETON, MN 56208
Phone Number 3202892422
SSA County Code 750
County Name Swift
Ownership Type Government - City
Certified Beds 50
Certified Beds Residents 38
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name THE BOARD OF APPLETON MUNICIPAL HOSPITAL AND NURSING HOME
Date First Approved to Provide Medicare Medicaid Services 08/01/1982
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.54868
Reported LPN Staffing Hours per Resident per Day 0.55395
Reported RN Staffing Hours per Resident per Day 0.69474
Reported Licensed Staffing Hours per Resident per Day 1.24868
Reported Total Nurse Staffing Hours per Resident per Day 3.79737
Expected CNA Staffing Hours per Resident per Day 2.15859
Expected LPN Staffing Hours per Resident per Day 0.61531
Expected RN Staffing Hours per Resident per Day 0.85043
Expected Total Nurse Staffing Hours per Resident per Day 3.62434
Adjusted CNA Staffing Hours per Resident per Day 2.89712
Adjusted LPN Staffing Hours per Resident per Day 0.74723
Adjusted RN Staffing Hours per Resident per Day 0.61041
Adjusted Total Nurse Staffing Hours per Resident per Day 4.22335
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 05/18/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 04/21/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Standard Health Survey Date 05/14/2015
Total Weighted Health Survey Score 18.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Appleton Municipal Hospital

Owner Name Role Association Date
COOK, JEFFREY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/27/2012

Appleton · Nursing Home

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Atrium Post Acute Care of Appleton 601 N Briarcliff Dr, Appleton, WI 54915

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