Villa Loretto Nursing Home
N8114 County Ww, Mount Calvary, WI 53057


Villa Loretto Nursing Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 525621. The address is N8114 County Ww, Mount Calvary, WI 53057. The zip code is 53057. The phone number is 9207533211.


Villa Loretto Nursing Home · N8114 County Ww, Mount Calvary, WI 53057

Federal Provider Number 525621
Provider Name VILLA LORETTO NURSING HOME
Address N8114 COUNTY WW
MOUNT CALVARY, WI 53057
Phone Number 9207533211
SSA County Code 190
County Name Fond Du Lac
Ownership Type Non profit - Corporation
Certified Beds 50
Certified Beds Residents 47
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SSCK INC
Date First Approved to Provide Medicare Medicaid Services 07/01/1997
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.21596
Reported LPN Staffing Hours per Resident per Day 0.42128
Reported RN Staffing Hours per Resident per Day 0.85532
Reported Licensed Staffing Hours per Resident per Day 1.2766
Reported Total Nurse Staffing Hours per Resident per Day 3.49256
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05319
Expected CNA Staffing Hours per Resident per Day 2.44516
Expected LPN Staffing Hours per Resident per Day 0.63574
Expected RN Staffing Hours per Resident per Day 0.93365
Expected Total Nurse Staffing Hours per Resident per Day 4.01455
Adjusted CNA Staffing Hours per Resident per Day 2.2237
Adjusted LPN Staffing Hours per Resident per Day 0.55
Adjusted RN Staffing Hours per Resident per Day 0.68451
Adjusted Total Nurse Staffing Hours per Resident per Day 3.50678
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 07/21/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 05/13/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 06/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 22.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Villa Loretto Nursing Home

Owner Name Role Association Date
AGNESIAN HEALTHCARE INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/01/2015
BLUESL, BONA (Individual) DIRECTOR since 10/01/2015
BROWN, MARY (Individual) DIRECTOR since 10/01/2015
FRANKE, STEPHEN (Individual) DIRECTOR since 07/01/1996
HYLAND, CAROL (Individual) DIRECTOR since 10/01/2015
KUSEK, DAVID (Individual) DIRECTOR since 12/01/2016
LAUBY, GERALD (Individual) DIRECTOR since 10/01/2015
LITTLE, STEVEN (Individual) DIRECTOR since 10/01/2015
MCKAY, LAURIE (Individual) MANAGING EMPLOYEE since 10/01/2015
RANDALL, SANDRA (Individual) MANAGING EMPLOYEE since 01/16/2012
RANDALL, SANDRA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/17/2008
SCOTT, MARIE (Individual) DIRECTOR since 10/01/2015
SENN, BARBARA (Individual) DIRECTOR since 12/01/2016
TROST, DOUGLAS (Individual) MANAGING EMPLOYEE since 10/01/2015
ZIMMERMAN, CATHERINE (Individual) DIRECTOR since 10/01/2015

WI · Nursing Home

Baldwin Care Center 650 Birch St, Baldwin, WI 54002
Tudor Oaks Health Center S77 W12929 Mcshane Dr, Muskego, WI 53150
Cedar Lake Health and Rehab Center 5595 Cty Rd Z, West Bend, WI 53095
Oakwood Villa 2512 New Pine Dr, Altoona, WI 54720
Greentree Health and Rehab Ctr 70 Greentree Rd, Clintonville, WI 54929
Ssm Health St Clare Meadows Care Ctr 1414 Jefferson St, Baraboo, WI 53913
Portage Cty Hlth Care Ctr 825 Whiting Ave, Stevens Point, WI 54481
Atrium Post Acute Care of Shawano At Maple Lane N4231 State Hwy 22, Shawano, WI 54166
Cameo Care Center 5790 S 27th St, Milwaukee, WI 53221
Lasata Care Center W76 N677 Wauwatosa Rd, Cedarburg, WI 53012
Dycora Transitional Health - Beaver Dam 410 Roedl Ct, Beaver Dam, WI 53916
Ingleside Manor 407 N Eighth St, Mount Horeb, WI 53572
Riverview Health Services 428 N 6th St, Tomahawk, WI 54487
Crossroads Care Center of Weyauwega 717 E Alfred St, Weyauwega, WI 54983
Rennes Health and Rehab Center-west 501 N Lake St, Peshtigo, WI 54157
Deerfield Care Center, LLC 575 Hospital Rd, New Richmond, WI 54017
Woodlands of Gillett 330 Robin Hood Ln, Gillett, WI 54124
Randolph Health Services 502 S High St, Randolph, WI 53956
Bridges of Milwaukee Rehab and Care Center (the) 6800 N 76th Street, Milwaukee, WI 53223
Atrium Post Acute Care of Plymouth 916 E Clifford St, Plymouth, WI 53073
Mulder Health Care Facility 713 N Leonard St, West Salem, WI 54669
Edgewater Haven Nursing Home 1351 Wisconsin River Dr, Port Edwards, WI 54469
East Troy Manor 3271 North St, East Troy, WI 53120
Sturgeon Bay Health Services 200 N Seventh Ave, Sturgeon Bay, WI 54235
Rennes Health and Rehab Center-east 701 Willow St, Peshtigo, WI 54157
Ladysmith Nursing Home 1001 E 11th St N, Ladysmith, WI 54848
Gundersen Tri-county Care Center 18601 Lincoln St, Whitehall, WI 54773
Hope Health and Rehab 438 Ashford Ave Po Box 280, Lomira, WI 53048
Colonial Manor Medical and Rehabilitation Center 1010 E Wausau Ave, Wausau, WI 54403
All About Life Rehab Center 115 E Arndt St, Fond Du Lac, WI 54935
Atrium Post Acute Care of Shawano At Birch Hill 1475 Birch Hill Lane, Shawano, WI 54166
Neighbors - Central Neighborhood (the) 2901 Forbes Ave, Menomonie, WI 54751
Pine View Care Center 400 County Rd R, Black River Falls, WI 54615
Heritage Nursing and Rehab Ctr 1119 N Wisconsin St, Port Washington, WI 53074
River's Bend Health and Rehabilitation 960 S Rapids Rd, Manitowoc, WI 54220
Pavilion At Glacier Valley 1900 American Eagle Dr, Slinger, WI 53086
Virginia Highlands Hlth and Rehab W173 N10915 Bernies Way, Germantown, WI 53022
Clement Manor Health Care Center 3939 S 92nd St, Greenfield, WI 53228
Kenosha Estates Rehab and Care Center 1703 60th St, Kenosha, WI 53140
Sky View Nursing Center 309 Iron St, Hurley, WI 54534