CUMBERLAND MEMORIAL HOSPITAL EXTENDED CARE UNIT
Address
1110 7TH AVE
CUMBERLAND, WI 54829
(715) 822-6113
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
90%Number of Residents and Certified Beds
- Residents: 45
- Certified Beds: 50
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Corporation
- Offers Only Resident Counseling
- Located Inside of a Hospital Facility
- This Facility is Not Part of a Chain or Franchise
Rating Details For Cumberland Memorial Hospital Extended Care Unit
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 29 Minutes | 58 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 10 Minutes | 40 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 39 Minutes | 2 Hours and 34 Minutes |
| Total Licensed Nurse Hours | 39 Minutes | 1 Hour and 38 Minutes |
| Total Nurse Hours | 3 Hours and 18 Minutes | 4 Hours and 12 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 Facility | Wisconsin Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 95% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 13% | 14% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 27% | 11% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 7% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 26% | 18% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 8% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 3% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 3% | 4% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 47% | 49% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 2% | 3% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 8% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 3% | 8% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 92% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 13% | 26% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 17% | 10% |
| Percent of Short-Stay Residents Who Have Delirium | 3% | 3% |
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 02/18/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Provide Needed Housekeeping and Maintenance.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
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Quality Care
Develop/Implement Required Procedures for the Administration of Immunizations.
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Resident Rights
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
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Try to Resolve Each Resident's Complaints Quickly.
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Let Residents Give Themselves Their Drugs if They Are Able.
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Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Cumberland Memorial Hospital Extended Care Unit, 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 Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
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Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
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