OREGON MANOR

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

OREGON MANOR
354 N MAIN ST
OREGON, WI 53575
(608) 835-3535

Nursing Home Ratings

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

Percent of Beds Occupied

84%

Number of Residents and Certified Beds

  • Residents: 38
  • Certified Beds: 45

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:

Stoughton | Madison | Verona

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 "Ultra-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 Oregon Manor. 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

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 2-100.7%
Total Percent:0.7%
 

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: 11-163.2%
ADL Index Range: 6-1044.2%
ADL Index Range: 0-524.8%
Total Percent:72.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-107.4%
ADL Index Range: 0-59.9%
Total Percent:17.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-52.5%
Total Percent:2.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-104.5%
ADL Index Range: 0-52.7%
Total Percent:7.2%
 

Rating Details For Oregon Manor

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 7 Minutes1 Hour and 15 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours26 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 28 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 33 Minutes1 Hour and 53 Minutes
Total Nurse Hours5 Hours4 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 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 Increased25%14%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder60%49%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%7%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse31%11%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%18%

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 Pain28%26%
Percent of Short-Stay Residents Who Have Pressure Sores10%10%
Percent of Short-Stay Residents Who Have Delirium2%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 08/16/2010.

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: 08/16/2010
  • Correction Date: 09/20/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/28/2009
  • Correction Date: 06/28/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/28/2009
  • Correction Date: 06/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010

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: 05/28/2009
  • Correction Date: 06/28/2009

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010

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: 06/19/2008
  • Correction Date: 08/07/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/31/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/28/2009
  • Correction Date: 06/28/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/07/2008
Do an Assessment of the Resident Every Year.
  • Inspection Date: 05/28/2009
  • Correction Date: 06/28/2009
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010
Do an Assessment of the Resident Every Year.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 08/16/2010
  • Correction Date: 09/20/2010

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)08/16/2010$13,650

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Oregon Manor, 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: 04/15/2008
  • Correction Date: 05/15/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 04/15/2008
  • Correction Date: 05/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/22/2010
  • Correction Date: 06/14/2010

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: 04/22/2010
  • Correction Date: 07/22/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/08/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/07/2008
  • Correction Date: 09/08/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 04/22/2010
  • Correction Date: 06/14/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 04/22/2010
  • Correction Date: 06/14/2010

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Complaint Filed: 04/15/2008
  • Correction Date: 05/15/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Complaint Filed: 04/15/2008
  • Correction Date: 05/15/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Complaint Filed: 04/15/2008
  • Correction Date: 05/15/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/22/2010
  • Correction Date: 07/22/2010

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.
  • Complaint Filed: 04/22/2010
  • Correction Date: 06/14/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 04/22/2010
  • Correction Date: 07/22/2010
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
  • Complaint Filed: 04/22/2010
  • Correction Date: 06/14/2010

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 Oregon Manor 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 08/25/2010.

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

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 05/27/2009
  • Correction Date: 05/29/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/20/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 08/25/2010
  • Correction Date: 09/25/2010

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 06/19/2008
  • Correction Date: 08/20/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/23/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/05/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 08/25/2010
  • Correction Date: 09/25/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 08/25/2010
  • Correction Date: 09/25/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/20/2009
Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 08/25/2010
  • Correction Date: 09/25/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/09/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/26/2009

Fire Alarm Systems

An Automatic Smoke Detection System in All Hallways.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/20/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 05/27/2009
  • Correction Date: 05/27/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/19/2008
  • Correction Date: 06/23/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/27/2009
  • Correction Date: 05/27/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/25/2010
  • Correction Date: 09/25/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 06/19/2008
  • Correction Date: 07/25/2008
Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/03/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 08/25/2010
  • Correction Date: 09/25/2010

Interior Finish

Fire-Resistant Interior Walls.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/24/2009
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/28/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 06/19/2008
  • Correction Date: 06/23/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 06/19/2008
  • Correction Date: 06/30/2008

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/27/2009
  • Correction Date: 05/27/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/25/2010
  • Correction Date: 09/25/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 05/27/2009
  • Correction Date: 06/28/2009
Source: Medicare Nursing Home Compare; Dept of Health and Family Services of WI-Division of Supportive Living-Bureau of Quality Assurance - Retrieved 2011