| Manawa Com Nur Ctr | |
| 400 East 4th St, Manawa, Wisconsin 54949 | |
| (920) 596-2566 | |
| Name | Manawa Com Nur Ctr |
|---|---|
| Location | 400 East 4th St, Manawa, Wisconsin |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 25 |
| Occupancy Rate | 84.8% |
| Medicare ID (CCN) | 525316 |
| Legal Business Name | Manawa Community Nursing Center Inc. |
| Ownership Type | For Profit - Individual |
| NPI Number | 1649273350 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Manawa Community Nursing Center Inc. |
| Address | 400 E 4th St, Manawa, WI 54949 |
| Phone Number | 920-596-2566 |
| 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 | 4.82 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.06 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.72 | 0.86 |
| Nurse aide hours per resident per day | 3.04 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.23 | 3.42 |
| RN hours per resident per day on the weekend | 0.33 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 51.3% | 45.8% |
| Registered nurse turnover | 54.5% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $17,716 |
| Number of Payment Denials | 2 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 30, 2025 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 30, 2025 |
| Apr 30, 2025 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 30, 2025 |
| Apr 30, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| Apr 30, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| Apr 30, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| Apr 30, 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 May 30, 2025 |
| Oct 22, 2024 | 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 | Immediate jeopardy, isolated | Corrected by Dec 9, 2024 |
| Oct 22, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Complaint inspection | Potential for harm, widespread | Corrected by Nov 15, 2024 |
| Oct 22, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Nov 15, 2024 |
| Oct 22, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 15, 2024 |
| Oct 22, 2024 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Nov 15, 2024 |
| Jul 26, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jun 12, 2024 | 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, pattern | Corrected by Jul 5, 2024 |
| Jun 12, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Jul 5, 2024 |
| May 1, 2024 | 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, pattern | Corrected by May 28, 2024 |
| May 1, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by May 28, 2024 |
| May 1, 2024 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 28, 2024 |
| Mar 12, 2024 | 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 | Corrected by Apr 2, 2024 |
| Mar 12, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Mar 16, 2024 |
| Mar 12, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 2, 2024 |
| Mar 12, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 2, 2024 |
| Mar 12, 2024 | 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 Apr 3, 2024 |
| Mar 12, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Mar 12, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 3, 2024 |
| Mar 1, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Mar 25, 2023 |
| Mar 1, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 23, 2023 |
| Mar 1, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 24, 2023 |
| Mar 1, 2023 | 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 Mar 25, 2023 |
| Mar 1, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 31, 2023 |
| Mar 1, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Minimal harm potential, widespread | Corrected by Mar 25, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 48.48 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.96 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.02 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.53 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 12.99 | 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 | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.75 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.84 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 29.54 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.76 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.45 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.04 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.33 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.69 | 15.38 |