Villa Maria Health and Rehab Ctr
300 Villa Dr, Hurley, WI 54534


Villa Maria Health and Rehab Ctr is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 525540. The address is 300 Villa Dr, Hurley, WI 54534. The zip code is 54534. The phone number is 7155613200.


Villa Maria Health and Rehab Ctr · 300 Villa Dr, Hurley, WI 54534

Federal Provider Number 525540
Provider Name VILLA MARIA HEALTH AND REHAB CTR
Address 300 VILLA DR
HURLEY, WI 54534
Phone Number 7155613200
SSA County Code 250
County Name Iron
Ownership Type For profit - Partnership
Certified Beds 70
Certified Beds Residents 62
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name VILLA MARIA HEALTH AND REHAB CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 06/01/1994
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 3
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.39597
Reported LPN Staffing Hours per Resident per Day 0.45161
Reported RN Staffing Hours per Resident per Day 0.69032
Reported Licensed Staffing Hours per Resident per Day 1.14194
Reported Total Nurse Staffing Hours per Resident per Day 3.5379
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07177
Expected CNA Staffing Hours per Resident per Day 2.70964
Expected LPN Staffing Hours per Resident per Day 0.62493
Expected RN Staffing Hours per Resident per Day 0.92419
Expected Total Nurse Staffing Hours per Resident per Day 4.25875
Adjusted CNA Staffing Hours per Resident per Day 2.16966
Adjusted LPN Staffing Hours per Resident per Day 0.59981
Adjusted RN Staffing Hours per Resident per Day 0.55812
Adjusted Total Nurse Staffing Hours per Resident per Day 3.34862
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 32
Cycle 1 Standard Survey Health Date 09/08/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 32
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Health Deficiency Score 60
Cycle 2 Standard Health Survey Date 08/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 60
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 80
Cycle 3 Standard Health Survey Date 10/02/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 80
Total Weighted Health Survey Score 49.333
Number of Substantiated Complaints 1
Number of Fines 1
Total Amount of Fines in Dollars $9925.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Villa Maria Health and Rehab Ctr

Owner Name Role Association Date
KUTZ, JOHN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 12/31/2012
KUTZ, LARRY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 12/31/2012
KUTZ, LAUREEN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 12/31/2012
KUTZ, LAWRENCE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 07/01/1976
KUTZ, LAWRENCE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/1976

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