| Waunakee Valley Senior Living | |
| 801 Klein Dr, Waunakee, Wisconsin 53597 | |
| (608) 849-5016 | |
| Name | Waunakee Valley Senior Living |
|---|---|
| Location | 801 Klein Dr, Waunakee, Wisconsin |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 84 |
| Occupancy Rate | 64.64% |
| Medicare ID (CCN) | 525098 |
| Legal Business Name | Ahr Waunakee Trs Sub, LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Trilogy Health Services (123 nursing homes) |
| Chain Average Overall Rating | 4.2 out of 5 |
| NPI Number | 1982301354 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ahr Waunakee Trs Sub, LLC |
| Doing Business As | Waunakee Valley Senior Living |
| Address | 801 S Klein Dr, Waunakee, WI 53597 |
| Phone Number | 608-849-5016 |
| NPI Number | 1275782740 |
| Match | Possible same name, address or phone number |
| Organization Name | Waunakee Manor Hcc |
| Address | 801 S Klein Dr, Waunakee, WI 53597 |
| Phone Number | 608-849-5016 |
| NPI Number | 1760470819 |
| Match | Possible same name, address or phone number |
| Organization Name | Waunakee Manor Health Care Center, Inc. |
| Address | 801 S Klein Dr, Waunakee, WI 53597 |
| Phone Number | 608-849-5016 |
| 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 | 3.64 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.51 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.82 | 0.86 |
| Nurse aide hours per resident per day | 2.31 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.32 | 3.42 |
| RN hours per resident per day on the weekend | 0.3 | 0.48 |
| Physical therapist hours per resident per day | 0.11 | 0.07 |
| Total nursing staff turnover | 62.5% | 45.8% |
| Registered nurse turnover | 75% | 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 | 2 |
| Total Amount of Fines in Dollars | $32,856 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 9, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 8, 2026 |
| Apr 9, 2026 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 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, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Jan 23, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 21, 2025 |
| Jan 23, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 21, 2025 |
| Jan 23, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 21, 2025 |
| Jan 23, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 21, 2025 |
| Jan 23, 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, isolated | Corrected by Feb 21, 2025 |
| Nov 11, 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 | Past non-compliance (already corrected) |
| Nov 11, 2024 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Complaint inspection | Potential for harm, pattern | Corrected by Dec 6, 2024 |
| Nov 11, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Complaint inspection | Potential for harm, pattern | Corrected by Dec 6, 2024 |
| Nov 11, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Dec 12, 2024 |
| Aug 6, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Oct 18, 2024 |
| Aug 6, 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 Sep 3, 2024 |
| Aug 6, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Sep 3, 2024 |
| Aug 6, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Jan 8, 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, Complaint inspection | Potential for harm, widespread | Corrected by Feb 5, 2024 |
| Jan 8, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 5, 2024 |
| Jan 8, 2024 | 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 Feb 5, 2024 |
| Jan 8, 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, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2024 |
| Jan 8, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2024 |
| Jan 8, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. F0742, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 5, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.2 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.52 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.18 | 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 | 2.78 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.68 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.3 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.82 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.96 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.7 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0.99 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.52 | 15.38 |