EDGEWATER HAVEN NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Edgewater Haven Nursing Home. 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

EDGEWATER HAVEN NURSING HOME
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI 54469
(715) 885-8300

Nursing Home Ratings

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

Percent of Beds Occupied

77%

Number of Residents and Certified Beds

  • Residents: 69
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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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 "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 Edgewater Haven Nursing Home. 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

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-164.7%
ADL Index Range: 6-101.0%
ADL Index Range: 0-512.0%
Total Percent:17.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1615.7%
ADL Index Range: 6-102.7%
ADL Index Range: 0-521.0%
Total Percent:39.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-108.6%
ADL Index Range: 0-516.3%
Total Percent:24.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-167.3%
ADL Index Range: 6-105.9%
ADL Index Range: 0-51.0%
Total Percent:14.1%
 

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
0.6%
Total Percent:0.6%
 

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
0.2%
ADL Index Range: 0-1
- No Signs of depression
0.4%
Total Percent:0.6%
 

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
- Less restorative nursing
2.7%
Total Percent:2.7%
 

Rating Details For Edgewater Haven Nursing Home

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) Hours1 Hour and 5 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours33 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 2 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours1 Hour and 38 Minutes1 Hour and 51 Minutes
Total Nurse Hours4 Hours and 40 Minutes4 Hours and 7 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 Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%95%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder41%49%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%8%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious18%18%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%14%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%8%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse7%11%

Short-Term Stay Preventive Actions

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

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores10%10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain39%26%
Percent of Short-Stay Residents Who Have Delirium7%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 05/20/2011.

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 InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/17/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/17/2011

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: 02/26/2009
  • Correction Date: 04/01/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/17/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/01/2011
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: 05/20/2011
  • Correction Date: 06/17/2011

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.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 02/26/2009
  • Correction Date: 04/01/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/09/2010
  • Correction Date: 03/29/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/17/2011

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)03/09/2010$2,113
Civil Money Penalty (CMP)11/18/2008$2,145
Civil Money Penalty (CMP)03/09/2010$2,470
Civil Money Penalty (CMP)11/18/2008$5,655
Civil Money Penalty (CMP)02/26/2009$11,900

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Edgewater Haven Nursing Home, 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

Environmental

Keep Temperature Levels Comfortable and Safe.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/18/2008
  • Correction Date: 12/19/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/09/2010
  • Correction Date: 03/29/2010

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 Edgewater Haven Nursing Home 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 05/20/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/25/2009
  • Correction Date: 01/01/1900
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/29/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/20/2011
  • Correction Date: 05/26/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 02/25/2009
  • Correction Date: 03/18/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/20/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/09/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/25/2009
  • Correction Date: 04/01/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/29/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/20/2011
  • Correction Date: 05/20/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/29/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/20/2011
  • Correction Date: 05/24/2011

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 02/25/2009
  • Correction Date: 04/01/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/25/2009
  • Correction Date: 04/01/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/25/2010
  • Correction Date: 03/10/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/20/2011
  • Correction Date: 05/23/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 02/25/2010
  • Correction Date: 02/26/2010
Source: Medicare Nursing Home Compare; Dept of Health and Family Services of WI-Division of Supportive Living-Bureau of Quality Assurance - Retrieved 2011