| Brewster Village | |
| 3300 W Brewster St, Appleton, Wisconsin 54914 | |
| (920) 832-5400 | |
| Name | Brewster Village |
|---|---|
| Location | 3300 W Brewster St, Appleton, Wisconsin |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 204 |
| Occupancy Rate | 59.95% |
| Medicare ID (CCN) | 525574 |
| Legal Business Name | County of Outagamie |
| Ownership Type | Government - County |
| NPI Number | 1639167430 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | County of Outagamie |
| Doing Business As | Brewster Village |
| Address | 3300 W Brewster St, Appleton, WI 54914 |
| Phone Number | 920-832-5400 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.1 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.57 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.32 | 0.86 |
| Nurse aide hours per resident per day | 3.21 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.65 | 3.42 |
| RN hours per resident per day on the weekend | 1.16 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 36.6% | 45.8% |
| Registered nurse turnover | 31.1% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 15, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 11, 2026 |
| Apr 15, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 18, 2026 |
| Apr 15, 2026 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 18, 2026 |
| Apr 15, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 11, 2026 |
| Apr 15, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 11, 2026 |
| Mar 19, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Aug 15, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 8, 2025 |
| Jan 8, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 8, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 8, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 8, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 8, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 8, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 8, 2025 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 8, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 8, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 7, 2025 |
| Nov 29, 2023 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.42 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.71 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.93 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.11 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 4.29 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.67 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.76 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.57 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.71 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.46 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.35 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.55 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.46 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.45 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.93 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 25.29 | 15.38 |
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