Wellspring of Milwaukee
9350 W Fond Du Lac Ave, Milwaukee, WI 53225


Wellspring of Milwaukee is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 525367. The address is 9350 W Fond Du Lac Ave, Milwaukee, WI 53225. The zip code is 53225. The phone number is 4144384360.


Wellspring of Milwaukee · 9350 W Fond Du Lac Ave, Milwaukee, WI 53225

Federal Provider Number 525367
Provider Name WELLSPRING OF MILWAUKEE
Address 9350 W FOND DU LAC AVE
MILWAUKEE, WI 53225
Phone Number 4144384360
SSA County Code 390
County Name Milwaukee
Ownership Type For profit - Corporation
Certified Beds 185
Certified Beds Residents 109
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MILWAUKEE HEALTH CARE, LLC
Date First Approved to Provide Medicare Medicaid Services 07/22/1983
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 1
Staffing Rating 4
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.61376
Reported LPN Staffing Hours per Resident per Day 1.14128
Reported RN Staffing Hours per Resident per Day 0.78028
Reported Licensed Staffing Hours per Resident per Day 1.92156
Reported Total Nurse Staffing Hours per Resident per Day 4.53532
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04541
Expected CNA Staffing Hours per Resident per Day 2.37325
Expected LPN Staffing Hours per Resident per Day 0.67435
Expected RN Staffing Hours per Resident per Day 1.145
Expected Total Nurse Staffing Hours per Resident per Day 4.1926
Adjusted CNA Staffing Hours per Resident per Day 2.70237
Adjusted LPN Staffing Hours per Resident per Day 1.4047
Adjusted RN Staffing Hours per Resident per Day 0.50919
Adjusted Total Nurse Staffing Hours per Resident per Day 4.36041
Cycle 1 Total Number of Health Deficiencies 26
Cycle 1 Number of Standard Health Deficiencies 19
Cycle 1 Number of Complaint Health Deficiencies 13
Cycle 1 Health Deficiency Score 132
Cycle 1 Standard Survey Health Date 05/19/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 132
Cycle 2 Total Number of Health Deficiencies 23
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 19
Cycle 2 Health Deficiency Score 120
Cycle 2 Standard Health Survey Date 02/02/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 120
Cycle 3 Total Number of Health Deficiencies 20
Cycle 3 Number of Standard Health Deficiencies 19
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 199
Cycle 3 Standard Health Survey Date 12/18/2013
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 199
Total Weighted Health Survey Score 139.167
Number of Facility Reported Incidents 4
Number of Substantiated Complaints 22
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Wellspring of Milwaukee

Owner Name Role Association Date
BEHR, LINDA (Individual) MANAGING EMPLOYEE since 09/16/2013
CLARK DANKS, ALICE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/16/2013
EHLERS, KIM (Individual) MANAGING EMPLOYEE since 09/16/2013
GRACE HEALTHCARE, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 09/16/2013
KOSKI, WILLIAM (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 09/16/2013
NICHOLSON, WILLIAM (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 09/16/2013
OBRIEN, JOHN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/16/2013

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