Capeside Cove Good Samaritan - SIREN, WI - Nursing Home Abuse and Neglect Report  
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General Information
Category: Participating in Medicare and Medicaid
CAPESIDE COVE GOOD SAMARITAN
(715) 349-2292
23926 4TH AVE S PO BOX 49
SIREN, WI 54872
Last inspected: 09/22/04
Certified Bed Count: 80
Total Residents: 77
Occupancy: 96%
Ownership: Non profit - Corporation
Inside Hospital: NO
Resident Nurse: 0.84
LPN/LVN Care: 0.19
C.N.A. Care: 2.09
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 6 %     09/22/04
Percent of Low-Risk Residents Who Have Pressure Sores 3 %     09/22/04
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder 42 %     09/22/04
Percent of Residents Who are More Depressed or Anxious 11 %     09/22/04
Percent of Residents Who Have Moderate to Severe Pain 1 %     09/22/04
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder 5 %     09/22/04
Percent of Residents Who Lose Too Much Weight 13 %     09/22/04
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair 2 %     09/22/04
Percent of Residents Who Were Physically Restrained 5 %     09/22/04
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse 27 %     09/22/04
Percent of Residents Whose Need for Help With Daily Activities Has Increased 24 %     09/22/04
Percent of Residents With a Urinary Tract Infection 10 %     09/22/04

Capeside Cove Good Samaritan - Nursing Home Treatment Deficiencies

Severity Scope Level of Nursing Home Neglect Updated
Category Deficiency
 
Isolated Actual harm 07/08/04
Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property.
 
Pattern Minimal harm or potential for actual harm 11/23/04
Quality Care Deficiencies Have enough nurses to care for every resident in a way that maximizes the resident's well being.
 
Pattern Minimal harm or potential for actual harm 02/15/05
Quality Care Deficiencies Have enough nurses to care for every resident in a way that maximizes the resident's well being.
 
Pattern Minimal harm or potential for actual harm 11/23/04
Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
 
Pattern Minimal harm or potential for actual harm 02/15/05
Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.
 
Isolated Minimal harm or potential for actual harm 05/04/05
Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents.
 
Isolated Minimal harm or potential for actual harm 05/04/05
Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible.
 
Isolated Minimal harm or potential for actual harm 05/04/05
Resident Rights Deficiencies 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.

Capeside Cove Good Samaritan - Nursing Home Inspections - Nursing Home Abuse Report

No inspection results have been reported.
Medicare Suppliers in SIREN
Out of 4
EVANGELICAL LUTHERAN GOOD SAMARITAN S
Prosthetics
(715)349-2292
23926 4TH AVE
SIREN, WI 54872
EVANGELICAL LUTHERAN GOOD SAMARITAN S
Orthotics
(715)349-2292
23926 4TH AVE
SIREN, WI 54872
HAWKEYE ENTERPRISES LLC
Durable Medical Equipment
(715)349-2221
24106 STATE ROAD 35
SIREN, WI 54872
HAWKEYE ENTERPRISES LLC
Pharmacy/Drug Store
(715)349-2221
24106 STATE ROAD 35
SIREN, WI 54872
  ... Burnett Med Ctr   ::