BREWSTER VILLAGE

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

BREWSTER VILLAGE
3300 W BREWSTER ST
APPLETON, WI 54914
(920) 832-5400

Nursing Home Ratings

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

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 195
  • Certified Beds: 204

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Menasha | Neenah | Little Chute

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 Brewster Village. 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: 11-162.4%
ADL Index Range: 6-101.5%
ADL Index Range: 0-54.9%
Total Percent:8.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-101.3%
ADL Index Range: 0-532.9%
Total Percent:34.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.1%
ADL Index Range: 6-1010.6%
ADL Index Range: 0-537.2%
Total Percent:49.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.1%
ADL Index Range: 6-101.1%
ADL Index Range: 0-53.1%
Total Percent:5.3%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-101.8%
Total Percent:1.8%
 

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: 2-5
- No Signs of depression
0.1%
Total Percent:0.1%
 

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: 2-5
- Signs of depression
0.5%
Total Percent:0.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- Signs of depression
0.2%
Total Percent:0.2%
 

Rating Details For Brewster Village

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 1 Minutes1 Hour and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours9 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 15 Minutes2 Hours and 20 Minutes
Total Licensed Nurse Hours1 Hour and 10 Minutes1 Hour and 39 Minutes
Total Nurse Hours4 Hours and 25 Minutes3 Hours and 59 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 Who Had a Urinary Tract Infection2%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores2%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%14%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Lose Too Much Weight3%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder53%49%
Percent of Long-Stay Residents Who Are More Depressed or Anxious21%18%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%7%

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 Pain18%26%
Percent of Short-Stay Residents Who Have Pressure Sores3%10%
Percent of Short-Stay Residents Who Have Delirium1%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 05/07/2010.

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

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 05/07/2010
  • Correction Date: 06/07/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/14/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/14/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/07/2010
  • Correction Date: 06/07/2010

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: 04/16/2009
  • Correction Date: 05/16/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
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: 05/07/2010
  • Correction Date: 06/07/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 05/07/2010
  • Correction Date: 06/07/2010

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: 04/16/2009
  • Correction Date: 05/16/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 05/07/2010
  • Correction Date: 06/07/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/14/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/14/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/14/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/14/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/07/2010
  • Correction Date: 06/07/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/07/2010
  • Correction Date: 06/07/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 05/07/2010
  • Correction Date: 06/07/2010

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: 04/16/2009
  • Correction Date: 05/16/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 05/07/2010
  • Correction Date: 06/07/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Brewster Village, 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

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: 01/27/2010
  • Correction Date: 02/19/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 01/27/2010
  • Correction Date: 02/19/2010

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 Brewster Village 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 05/20/2010.

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

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/20/2010
  • Correction Date: 05/20/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 05/20/2010
  • Correction Date: 06/01/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/16/2009
  • Correction Date: 05/16/2009
Source: Medicare Nursing Home Compare; Dept of Health and Family Services of WI-Division of Supportive Living-Bureau of Quality Assurance - Retrieved 2011