SHEBOYGAN SENIOR COMMUNITY INC

The information listed below provides an in-depth look into the type and quality of care offered at Sheboygan Senior Community Inc. 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

SHEBOYGAN SENIOR COMMUNITY INC
930 N 6TH ST
SHEBOYGAN, WI 53081
(920) 458-2137

Nursing Home Ratings

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

Percent of Beds Occupied

91%

Number of Residents and Certified Beds

  • Residents: 68
  • Certified Beds: 75

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • 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 Sheboygan Senior Community Inc. 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 Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-102.2%
Total Percent:2.2%
 

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: 6-1014.9%
ADL Index Range: 0-59.4%
Total Percent:24.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.5%
ADL Index Range: 6-1017.8%
ADL Index Range: 0-528.6%
Total Percent:57.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.5%
ADL Index Range: 0-51.1%
Total Percent:8.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.3%
ADL Index Range: 0-52.2%
Total Percent:5.5%
 

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
0.1%
ADL Index Range: 2-5
- Signs of depression
2.2%
Total Percent:2.4%
 

Rating Details For Sheboygan Senior Community Inc

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 24 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours28 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 23 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 53 Minutes1 Hour and 48 Minutes
Total Nurse Hours4 Hours and 15 Minutes4 Hours and 18 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 Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse14%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%14%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%49%
Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%18%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%

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 Pain62%26%
Percent of Short-Stay Residents Who Have Pressure Sores11%10%
Percent of Short-Stay Residents Who Have Delirium-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 04/25/2011.

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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/31/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/31/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/31/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/25/2011

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: 04/25/2011
  • Correction Date: 05/25/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/25/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/31/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/31/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/25/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/25/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/31/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/31/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/25/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/25/2011

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: 02/05/2009
  • Correction Date: 03/05/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/05/2009
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.
  • Inspection Date: 03/03/2010
  • Correction Date: 03/31/2010
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.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/25/2011
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/25/2011
  • Correction Date: 05/25/2011

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)02/05/2009$5,200
Civil Money Penalty (CMP)12/23/2009$7,508
Denial of Payment for New Admission (DPNA)02/05/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Sheboygan Senior Community Inc, 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

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/19/2010
  • Correction Date: 08/18/2010

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.
  • Complaint Filed: 06/16/2011
  • Correction Date: 07/06/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 12/23/2009
  • Correction Date: 01/22/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 12/23/2009
  • Correction Date: 01/22/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/19/2010
  • Correction Date: 08/18/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 12/23/2009
  • Correction Date: 01/22/2010

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 Sheboygan Senior Community Inc 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 04/20/2011.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/20/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/11/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/02/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/16/2010
Approved Construction Type or Materials.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/25/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/18/2010
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/25/2011
Properly Protected Cooking Facilities.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/25/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/25/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/15/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/02/2010

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/02/2010
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/25/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/15/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/25/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/18/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/05/2010
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/25/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/17/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 02/06/2009
  • Correction Date: 03/27/2009
Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 03/02/2010
  • Correction Date: 03/17/2010
Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 04/20/2011
  • Correction Date: 05/25/2011
Source: Medicare Nursing Home Compare; Dept of Health and Family Services of WI-Division of Supportive Living-Bureau of Quality Assurance - Retrieved 2011