HOPE HEALTH AND REHAB

The information listed below provides an in-depth look into the type and quality of care offered at Hope Health and Rehab. 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

HOPE HEALTH AND REHAB
438 ASHFORD AVE PO BOX 280
LOMIRA, WI 53048
(920) 269-4386

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 37
  • Certified Beds: 42

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Mayville | Waupun | Kewaskum

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 Hope Health and Rehab. 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: 11-163.0%
ADL Index Range: 6-107.6%
ADL Index Range: 0-54.1%
Total Percent:14.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.1%
ADL Index Range: 6-1010.6%
ADL Index Range: 0-537.5%
Total Percent:59.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1020.5%
ADL Index Range: 0-55.6%
Total Percent:26.1%
 

Rating Details For Hope Health and Rehab

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) Hours43 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours50 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 11 Minutes2 Hours and 20 Minutes
Total Licensed Nurse Hours1 Hour and 33 Minutes1 Hour and 44 Minutes
Total Nurse Hours3 Hours and 44 Minutes4 Hours and 4 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 Have Moderate to Severe Pain3%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores5%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores-8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder49%49%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%14%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious15%18%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%8%
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 Have Pressure Sores4%10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%26%
Percent of Short-Stay Residents Who Have Delirium4%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 12/22/2010.

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

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 12/22/2010
  • Correction Date: 01/22/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 12/22/2010
  • Correction Date: 01/22/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/22/2010
  • Correction Date: 01/22/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 12/22/2010
  • Correction Date: 01/22/2011

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: 10/08/2009
  • Correction Date: 10/09/2009

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.
  • Inspection Date: 10/08/2009
  • Correction Date: 01/01/1900
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 10/08/2009
  • Correction Date: 11/08/2009
Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 12/22/2010
  • Correction Date: 01/22/2011

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 Hope Health and Rehab 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 01/04/2011.

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: 09/24/2008
  • Correction Date: 10/24/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/08/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/04/2011
  • Correction Date: 04/04/2011

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 01/04/2011
  • Correction Date: 02/04/2011
Approved Construction Type or Materials.
  • Inspection Date: 01/04/2011
  • Correction Date: 02/04/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/14/2008
Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 01/04/2011
  • Correction Date: 04/04/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/04/2011
  • Correction Date: 02/04/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/04/2011
  • Correction Date: 01/01/1900

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 09/24/2008
  • Correction Date: 01/01/1900
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 01/04/2011
  • Correction Date: 02/04/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/24/2008
  • Correction Date: 11/11/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/08/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/15/2009
  • Correction Date: 12/09/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 01/04/2011
  • Correction Date: 02/04/2011
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/04/2011
  • Correction Date: 01/01/1900
Properly Maintained Smoke Detectors.
  • Inspection Date: 01/04/2011
  • Correction Date: 02/04/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/15/2008
Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/17/2008
Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 10/15/2009
  • Correction Date: 11/08/2009
Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 01/04/2011
  • Correction Date: 02/04/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 10/15/2009
  • Correction Date: 10/28/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/24/2008
  • Correction Date: 10/08/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 01/04/2011
  • Correction Date: 02/04/2011
Source: Medicare Nursing Home Compare; Dept of Health and Family Services of WI-Division of Supportive Living-Bureau of Quality Assurance - Retrieved 2011