FAMILY HERITAGE NURSING & REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Family Heritage Nursing & Rehabilitation Center. 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

FAMILY HERITAGE NURSING & REHABILITATION CENTER
1311 TYLER ST
BLACK RIVER FALLS, WI 54615
(715) 284-4396

Nursing Home Ratings

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

Percent of Beds Occupied

76%

Number of Residents and Certified Beds

  • Residents: 38
  • Certified Beds: 50

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:

Blair | Pigeon Falls | Neillsville

Resident Services

The information below lists services this facility has provided for residents from October through November 2010. During this period, the most common type of service provided was "Very High 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 Family Heritage Nursing & Rehabilitation Center. 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1618.8%
ADL Index Range: 6-1010.9%
ADL Index Range: 0-518.2%
Total Percent:47.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1621.2%
ADL Index Range: 6-1015.8%
ADL Index Range: 0-58.5%
Total Percent:45.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
6.7%
Total Percent:6.7%
 

Rating Details For Family Heritage Nursing & Rehabilitation Center

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) Hours48 Minutes1 Hour and 13 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours38 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 49 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 27 Minutes1 Hour and 53 Minutes
Total Nurse Hours4 Hours and 16 Minutes4 Hours and 16 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 Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%14%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores15%8%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious23%18%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder52%49%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%11%

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 Had Moderate to Severe Pain36%26%
Percent of Short-Stay Residents Who Have Delirium9%3%
Percent of Short-Stay Residents Who Have Pressure Sores18%10%

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 08/31/2010.

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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/31/2010
  • Correction Date: 09/22/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/04/2008
  • Correction Date: 11/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/04/2008
  • Correction Date: 11/04/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/16/2009
Get Rid of Garbage Properly.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/15/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/16/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/31/2010
  • Correction Date: 09/22/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/31/2010
  • Correction Date: 09/22/2010

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: 08/31/2010
  • Correction Date: 09/22/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/16/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/31/2010
  • Correction Date: 09/22/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 08/31/2010
  • Correction Date: 09/22/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 08/31/2010
  • Correction Date: 09/22/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Family Heritage Nursing & Rehabilitation Center, 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

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/21/2009
  • Correction Date: 02/21/2009

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 Family Heritage Nursing & Rehabilitation Center 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 09/23/2010.

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

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 09/10/2008
  • Correction Date: 01/01/1900
Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 09/23/2009
  • Correction Date: 01/01/1900
Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/04/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/04/2008

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 09/10/2008
  • Correction Date: 11/21/2008

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/31/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/04/2010
Source: Medicare Nursing Home Compare; Dept of Health and Family Services of WI-Division of Supportive Living-Bureau of Quality Assurance - Retrieved 2011