HERITAGE MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Heritage Manor. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HERITAGE MANOR
307 ROYALL AVE PO BOX 167
ELROY, WI 53929
(608) 462-8491

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 73
  • Certified Beds: 76

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Mauston | Reedsburg | Friendship

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Heritage Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1627.2%
ADL Index Range: 6-1039.8%
Total Percent:67.0%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-1613.6%
Total Percent:13.6%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
4.9%
Total Percent:4.9%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
7.8%
ADL Index Range: 6-10
- No Signs of depression
1.9%
Total Percent:9.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Two or more restorative nursing on 6+ days/wk
4.9%
Total Percent:4.9%
 

Rating Details For Heritage Manor

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours51 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours23 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 24 Minutes2 Hours and 47 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 50 Minutes
Total Nurse Hours3 Hours and 38 Minutes4 Hours and 37 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Wisconsin are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityWisconsin Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%95%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious18%18%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%8%
Percent of Long-Stay Residents Who Lose Too Much Weight2%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair7%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased5%14%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder35%49%
Percent of Long-Stay Residents Who Were Physically Restrained2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%92%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores6%10%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain2%26%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/02/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/09/2009
  • Correction Date: 08/07/2009

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/09/2009
  • Correction Date: 08/07/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/30/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 07/09/2009
  • Correction Date: 08/07/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/30/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/30/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/09/2009
  • Correction Date: 08/07/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/09/2009
  • Correction Date: 08/07/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/09/2009
  • Correction Date: 08/07/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/30/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/30/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/30/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/02/2010
  • Correction Date: 09/30/2010

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/09/2009
  • Correction Date: 08/07/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)11/24/2009$3,185

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Heritage Manor, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 11/24/2009
  • Correction Date: 12/11/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 02/16/2010
  • Correction Date: 02/25/2010
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 02/16/2010
  • Correction Date: 02/25/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/24/2009
  • Correction Date: 11/24/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 11/24/2009
  • Correction Date: 11/24/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 11/24/2009
  • Correction Date: 12/11/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Heritage Manor had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/16/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 06/24/2008
  • Correction Date: 01/01/1900

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008
Properly Maintained Smoke Detectors.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/24/2008
  • Correction Date: 07/15/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/16/2009
  • Correction Date: 07/29/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/16/2010
  • Correction Date: 09/22/2010
Source: Medicare Nursing Home Compare; Dept of Health and Family Services of WI-Division of Supportive Living-Bureau of Quality Assurance - Retrieved 2011