๐ About Manor Of Fond Du Lac, Fond Du Lac, WI
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Manor Of Fond Du Lac is located on 517 E Division St in Fond Du Lac, WI 54935. The Number of Certified Beds is 50 and the Average Number of Residents per Day is . The provider type of is Medicare and Medicaid and its legal business name is Manor Of Fond Du Lac Llc.
๐Manor Of Fond Du Lac Map
๐Manor Of Fond Du Lac Information
- Name - Manor Of Fond Du Lac
- CMS Certification Number (CCN) -
- Facility Address - 517 E Division St
- City - Fond Du Lac
- State Short - WI
- State Full - Wisconsin
- ZIP Code - 54935
- County - Fond Du Lac County
- Provider SSA County Code - 190
- Telephone Number - (920) 921-6800
๐ข Manor Of Fond Du Lac Ownership and Affiliation
- Ownership Type - For profit - Limited Liability company
- Legal Business Name Full - Manor Of Fond Du Lac Llc
- Affiliated Entity Name - 171
- Affiliated Entity ID - Crossroads Care Center
- Provider Type - Medicare and Medicaid
- Continuing Care Retirement Community - N
- Provider Resides in Hospital - N
- Provider Changed Ownership in Last 12 Months - N
๐๏ธ Manor Of Fond Du Lac Capacity and Resident Info
- Number of Certified Beds - 50
- Average Number of Residents per Day - 33.3
- Average Number of Residents per Day Footnote -
- With a Resident and Family Council - Resident
๐ Manor Of Fond Du Lac Certification and History
- Date First Approved to Provide Medicare and Medicaid Services - 8/24/1993
- Special Focus Status - No Data
- Abuse Icon - N
- Most Recent Health Inspection More Than 2 Years Ago - N
๐จ Manor Of Fond Du Lac Safety and Features
- Automatic Sprinkler Systems in All Required Areas - Yes
๐ Manor Of Fond Du Lac Ratings
- Overall Rating - 2
- Overall Rating Footnote - No Data
- Health Inspection Rating - 2
- Health Inspection Rating Footnote - No Data
- QM Rating - 4
- QM Rating Footnote - No Data
- Long-Stay QM Rating -5
- Long-Stay QM Rating Footnote - No Data
- Short-Stay QM Rating - 4
- Short-Stay QM Rating Footnote - No Data
๐ฉโโ๏ธ Manor Of Fond Du Lac Staffing and Hours
- Reported Staffing Footnote - No Data
- Physical Therapist Staffing Footnote - No Data
- Reported Nurse Aide Staffing Hours per Resident per Day - 0.03664
- Reported LPN Staffing Hours per Resident per Day - 0.96119
- Reported RN Staffing Hours per Resident per Day - 0.57608
- Reported Total Nurse Staffing Hours per Resident per Day -3.50198
- Total number of nurse staff hours per resident per day on the weekend - 2.99841
- Registered Nurse hours per resident per day on the weekend - 0.33933
- Reported Physical Therapist Staffing Hours per Resident Per Day - 0.03664
๐ Manor Of Fond Du Lac Staff Turnover
- Total nursing staff turnover - 39.4
- Total nursing staff turnover footnote - No Data
- Registered Nurse turnover - 33.3
- Registered Nurse turnover footnote - No Data
- Number of administrators who have left the nursing home - 0
- Administrator turnover footnote - No Data
๐ Manor Of Fond Du Lac Case-Mix Index and Adjusted Staffing
- Nursing Case-Mix Index - 1.30667
- Nursing Case-Mix Index Ratio - 0.95544
- Case-Mix Nurse Aide Staffing Hours per Resident per Day -3.11984
- Case-Mix LPN Staffing Hours per Resident per Day - 2.22046
- Case-Mix RN Staffing Hours per Resident per Day - 0.64078
- Case-Mix Total Nurse Staffing Hours per Resident per Day - 3.26999
- Adjusted Nurse Aide Staffing Hours per Resident per Day - 2.04428
- Adjusted LPN Staffing Hours per Resident per Day - 1.00011
- Adjusted RN Staffing Hours per Resident per Day - 0.59941
- Adjusted Total Nurse Staffing Hours per Resident per Day - 3.6438
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day -3.11984
๐ Manor Of Fond Du Lac Inspection Cycles
- Standard Survey Health Date - 3/27/2024
- Total Number of Health Deficiencies - 72
- Number of Standard Health Deficiencies - 12
- Number of Complaint Health Deficiencies - 1
- Health Deficiency Score - 72
- Number of Health Revisits - 1
- Health Revisit Score - 0
- Total Health Score - 72
โ ๏ธ Manor Of Fond Du Lac Incidents, Complaints & Penalties
- Number of Facility Reported Incidents - 1
- Number of Substantiated Complaints - 6
- Number of Citations from Infection Control Inspections - No Data
- Number of Fines - 0
- Total Amount of Fines in Dollars - 0
- Number of Payment Denials - 0
- Total Number of Penalties - 0
๐ Manor Of Fond Du Lac Metadata
- Processing Date - 4/1/2025