GILMAN CARE CENTER, LLC

The information listed below provides an in-depth look into the type and quality of care offered at Gilman Care Center, LLC. 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

GILMAN CARE CENTER, LLC
600 W HICKORY ST
GILMAN, WI 54433
(715) 447-8217

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

56%

Number of Residents and Certified Beds

Residents: 28
Certified Beds: 50

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Only Resident Counseling
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Thorp | Cornell | Medford

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 "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 Gilman Care Center, LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	13.9%
ADL Index Range: 0-5	35.6%
Total Percent:	49.5%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 0-5	13.9%
Total Percent:	13.9%

Extensive Services

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: 2-16 - Isolation for active infectious disease	18.8%
Total Percent:	18.8%

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: 11-14 - Signs of depression	17.8%
Total Percent:	17.8%

Rating Details For Gilman Care Center, LLC

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	55 Minutes	1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	42 Minutes	39 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 56 Minutes	2 Hours and 20 Minutes
Total Licensed Nurse Hours	1 Hour and 37 Minutes	1 Hour and 40 Minutes
Total Nurse Hours	4 Hours and 34 Minutes	4 Hours

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 Given Influenza Vaccination During the Flu Season	90-100%	94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	95%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	15%	11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	3%	3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	56%	49%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	13%	7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	8%	8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	12%	8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	19%	14%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	2%	4%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	19%	18%
Percent of Long-Stay Residents Who Were Physically Restrained	-	3%

Short-Term Stay Preventive Actions

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

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	4%	3%
Percent of Short-Stay Residents Who Have Pressure Sores	-	10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	19%	26%

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 07/27/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 08/05/2009 Correction Date: 09/02/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 08/05/2009 Correction Date: 09/04/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/27/2010 Correction Date: 08/27/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 07/27/2010 Correction Date: 07/27/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 10/16/2008
Correction Date: 11/25/2008

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 07/27/2010 Correction Date: 08/02/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/27/2010 Correction Date: 08/27/2010

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 08/05/2009 Correction Date: 09/02/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/05/2009 Correction Date: 09/04/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/27/2010 Correction Date: 08/27/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/27/2010 Correction Date: 08/12/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 07/27/2010 Correction Date: 08/27/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 07/27/2010 Correction Date: 08/02/2010

Resident Assessment

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: 07/27/2010 Correction Date: 08/27/2010
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed. Inspection Date: 07/27/2010 Correction Date: 08/02/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Inspection Date: 07/27/2010 Correction Date: 08/02/2010
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: 07/27/2010 Correction Date: 08/02/2010
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 07/27/2010 Correction Date: 08/27/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 07/27/2010 Correction Date: 07/27/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/27/2010 Correction Date: 08/12/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Gilman Care Center, LLC, 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