APPLETON HEALTH CARE CENTER

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

APPLETON HEALTH CARE CENTER
2915 N MEADE ST
APPLETON, WI 54911
(920) 993-6800

Nursing Home Ratings

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

Percent of Beds Occupied

62%

Number of Residents and Certified Beds

  • Residents: 93
  • Certified Beds: 150

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Menasha | Little Chute | Kaukauna

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 Appleton Health Care Center. 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: 11-169.9%
ADL Index Range: 6-1013.8%
ADL Index Range: 0-55.4%
Total Percent:29.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.5%
ADL Index Range: 6-1013.7%
ADL Index Range: 0-515.2%
Total Percent:35.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.1%
ADL Index Range: 6-106.4%
ADL Index Range: 0-50.3%
Total Percent:15.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-165.3%
ADL Index Range: 6-105.5%
ADL Index Range: 0-55.3%
Total Percent:16.2%
 

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
1.5%
Total Percent:1.5%
 

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
1.7%
Total Percent:1.7%
 

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

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
0.2%
Total Percent:0.2%
 

Rating Details For Appleton Health Care Center

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) Hours60 Minutes1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours27 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 10 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 27 Minutes1 Hour and 47 Minutes
Total Nurse Hours3 Hours and 37 Minutes4 Hours and 12 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 Were Physically Restrained9%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%11%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%18%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%14%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder40%49%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%92%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores7%10%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain38%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 05/20/2011.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/13/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/13/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/26/2010
  • Correction Date: 05/20/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 04/26/2010
  • Correction Date: 05/20/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 05/20/2011
  • Correction Date: 07/08/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/13/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/13/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/14/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/20/2011
  • Correction Date: 07/08/2011

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: 05/20/2011
  • Correction Date: 06/13/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/13/2011

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)02/24/2011$2,730
Civil Money Penalty (CMP)04/26/2010$6,240
Civil Money Penalty (CMP)02/24/2011$6,500
Civil Money Penalty (CMP)03/13/2009$8,100
Civil Money Penalty (CMP)03/13/2009$16,350
Denial of Payment for New Admission (DPNA)03/13/2009-

Deficiencies from Complaints and Incidents

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

Administration

Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Complaint Filed: 06/24/2008
  • Correction Date: 01/01/1900
Choose a Doctor to Be the Medical Director.
  • Complaint Filed: 03/13/2009
  • Correction Date: 04/14/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 03/13/2009
  • Correction Date: 04/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/03/2010
  • Correction Date: 04/03/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 04/18/2011
  • Correction Date: 05/10/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/27/2011
  • Correction Date: 05/19/2011

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

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 03/13/2009
  • Correction Date: 04/14/2009
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.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
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.
  • Complaint Filed: 04/18/2011
  • Correction Date: 05/10/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/11/2008
  • Correction Date: 09/08/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 03/03/2010
  • Correction Date: 04/03/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 03/03/2010
  • Correction Date: 04/03/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/03/2010
  • Correction Date: 04/03/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Complaint Filed: 03/03/2010
  • Correction Date: 04/03/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 04/27/2011
  • Correction Date: 05/19/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 03/03/2010
  • Correction Date: 04/03/2010
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Complaint Filed: 03/03/2010
  • Correction Date: 04/03/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 04/27/2011
  • Correction Date: 05/19/2011

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: 03/03/2010
  • Correction Date: 04/03/2010
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: 04/26/2010
  • Correction Date: 05/20/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010
1) Protect Current or Future Residents from Giving Up Their Medicaid or Medicare Benefits; or 2) Follow Federal Rules for Admissions.
  • Complaint Filed: 04/26/2010
  • Correction Date: 05/20/2010

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 Appleton Health Care Center 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 05/23/2011.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/21/2010
  • Correction Date: 04/22/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/21/2010
  • Correction Date: 05/13/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/23/2011
  • Correction Date: 06/03/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/21/2010
  • Correction Date: 04/28/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/23/2011
  • Correction Date: 06/03/2011
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 05/23/2011
  • Correction Date: 06/03/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/21/2010
  • Correction Date: 04/28/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/21/2010
  • Correction Date: 04/26/2010
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 05/23/2011
  • Correction Date: 06/03/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/23/2011
  • Correction Date: 06/03/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/21/2010
  • Correction Date: 04/25/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/23/2011
  • Correction Date: 06/03/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 04/21/2010
  • Correction Date: 05/18/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/21/2010
  • Correction Date: 04/26/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 04/21/2010
  • Correction Date: 04/28/2010
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 05/23/2011
  • Correction Date: 06/03/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/11/2009
  • Correction Date: 05/06/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/23/2011
  • Correction Date: 06/06/2011
Source: Medicare Nursing Home Compare; Dept of Health and Family Services of WI-Division of Supportive Living-Bureau of Quality Assurance - Retrieved 2011