ST. JOHNS ON THE LAKE
Address
1840 N PROSPECT AVE
MILWAUKEE, WI 53202
(414) 272-2022
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 48
- Certified Beds: 56
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Church Related
- Offers Only Resident Counseling
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Not Part of a Chain or Franchise
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 St. Johns on the Lake. 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 |
Ultra-High Rehabilitation
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 6-10 | 8.1% |
ADL Index Range: 0-5 | 57.5% |
Total Percent: | 65.5% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 6-10 | 8.7% |
ADL Index Range: 0-5 | 22.0% |
Total Percent: | 30.7% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 0-5 | 3.7% |
Total Percent: | 3.7% |
Rating Details For St. Johns on the Lake
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 | 1 Hour and 4 Minutes | 57 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 46 Minutes | 35 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 29 Minutes | 1 Hour and 58 Minutes |
Total Licensed Nurse Hours | 1 Hour and 50 Minutes | 1 Hour and 32 Minutes |
Total Nurse Hours | 4 Hours and 19 Minutes | 3 Hours and 30 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 Facility | Wisconsin Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 95% |
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
Long-Term Stay Deficiencies
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 29% | 8% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 8% | 11% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 3% | 3% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 6% | 7% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 15% | 18% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 8% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 3% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 4% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 12% | 14% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 3% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 8% | 8% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 39% | 49% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 85% | 92% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 3% |
Percent of Short-Stay Residents Who Have Pressure Sores | 12% | 10% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 52% | 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 03/31/2011.
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 Inspectors | Degree of Harm | Residents Affected |
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.
| ||
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.
| ||
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
|
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
|
Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
|
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
|
Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| ||
Make Sure That Doctors Visit Residents Regularly, As Required.
| ||
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
|
Resident Rights
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
|
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 Taken | Date | Amount |
Civil Money Penalty (CMP) | 04/01/2009 | $4,355 |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for St. Johns on the Lake, 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 |
Administration
Post Nurse Staffing Information.
|
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
|
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 St. Johns on the Lake 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 04/06/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| ||
Properly Working Alarms on Sprinkler Valves.
| ||
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| ||
Portable Fire Extinguishers.
| ||
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| ||
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| ||
Portable Fire Extinguishers.
|
Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
| ||
Approved Construction Type or Materials.
| ||
A Two-Hour-Resistant Firewall in Common Walls.
| ||
A Two-Hour-Resistant Firewall in Common Walls.
|
Building Service Equipment
Properly Constructed Linen or Trash Chutes.
|
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
|
Electrical
Properly Installed Electrical Wiring and Equipment.
| ||
Weekly Inspections and Monthly Testing of Generators.
| ||
Properly Installed Electrical Wiring and Equipment.
| ||
Properly Installed Electrical Wiring and Equipment.
|
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
|
Exits and Egress
Exits That Are Accessible at All Times.
| ||
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
| ||
Rooms That Can Be Unlocked from Inside Without a Key.
|
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
|
Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
| ||
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
|
Illumination and Emergency Power
Emergency Lighting That Can Last at Least 1 1/2 Hours.
|
Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
| ||
Proper Medical Gas Storage and Administration Areas.
|
Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
| ||
Fire Safety Features Required by Current Fire Safety Codes.
|
Smoke Compartmentation and Control
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
| ||
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
| ||
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
|