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General Information
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Category: Participating in Medicare and Medicaid COUNTRYSIDE HOME (920) 674-3170 1130 COLLINS ROAD JEFFERSON, WI 53549 |
Last inspected: 07/14/05 Certified Bed Count: 120 Total Residents: 119 Occupancy: 99% Ownership: Government - County Inside Hospital: NO |
Resident Nurse: 0.67 LPN/LVN Care: 0.71 C.N.A. Care: 3.28 Total Staff: 0 Total Licensed Staff: 0 (All hours are per Resident per Day) |
Resident Survey
| Measure | Score | County Ave | State Ave | Updated |
| Percent of High-Risk Residents Who Have Pressure Sores | 16 % | 07/14/05 | ||
| Percent of Low-Risk Residents Who Have Pressure Sores | 2 % | 07/14/05 | ||
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder | 55 % | 07/14/05 | ||
| Percent of Residents Who are More Depressed or Anxious | 17 % | 07/14/05 | ||
| Percent of Residents Who Have Moderate to Severe Pain | 9 % | 07/14/05 | ||
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 7 % | 07/14/05 | ||
| Percent of Residents Who Lose Too Much Weight | 6 % | 07/14/05 | ||
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair | 0 % | 07/14/05 | ||
| Percent of Residents Who Were Physically Restrained | 1 % | 07/14/05 | ||
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse | 11 % | 07/14/05 | ||
| Percent of Residents Whose Need for Help With Daily Activities Has Increased | 15 % | 07/14/05 | ||
| Percent of Residents With a Urinary Tract Infection | 7 % | 07/14/05 | ||
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 36 % | 07/14/05 | ||
| Percent of Short-Stay Residents With Delirium | 0 % | 07/14/05 | ||
| Percent of Short-Stay Residents With Pressure Sores | 12 % | 07/14/05 |
Countryside Home - Nursing Home Treatment Deficiencies
| Severity | Scope | Level of Nursing Home Neglect | Updated | Category | Deficiency |
| Isolated | Minimal harm or potential for actual harm | 07/15/03 | |
| Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | ||
Countryside Home - Nursing Home Inspections - Nursing Home Abuse Report
No inspection results have been reported.
Medicare Suppliers in JEFFERSON
Out of 3
MUELLER DRUGS INC
Pharmacy/Drug Store
(920)674-5733
132 S MAIN ST
JEFFERSON, WI 53549
JEFFERSON, WI 53549
ST MARYS DEAN VENTURES INC
Optometry/Optician
(920)674-2217
144 W GARLAND ST
JEFFERSON, WI 53549
JEFFERSON, WI 53549
MOBILITY MASTERS LLC
Durable Medical Equipment
(920)674-5499
823 LUCAS LN
JEFFERSON, WI 53549
JEFFERSON, WI 53549