🏠About St Dominic Villa, Hazel Green, WI
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St Dominic Villa is located on 2375 Sinsinawa Rd in Hazel Green, WI 53811. The Number of Certified Beds is 62 and the Average Number of Residents per Day is . The provider type of is Medicare and Medicaid and its legal business name is Sinsinawa Nursing Inc.
📌St Dominic Villa Map
📍St Dominic Villa Information
- Name - St Dominic Villa
- CMS Certification Number (CCN) -
- Facility Address - 2375 Sinsinawa Rd
- City - Hazel Green
- State Short - WI
- State Full - Wisconsin
- ZIP Code - 53811
- County - Grant County
- Provider SSA County Code - 210
- Telephone Number - (608) 748-9814
🏢 St Dominic Villa Ownership and Affiliation
- Ownership Type - Non profit - Corporation
- Legal Business Name Full - Sinsinawa Nursing Inc
- Affiliated Entity Name - No Data
- Affiliated Entity ID - No Data
- Provider Type - Medicare and Medicaid
- Continuing Care Retirement Community - N
- Provider Resides in Hospital - N
- Provider Changed Ownership in Last 12 Months - N
🛏️ St Dominic Villa Capacity and Resident Info
- Number of Certified Beds - 62
- Average Number of Residents per Day - 60.5
- Average Number of Residents per Day Footnote -
- With a Resident and Family Council - Resident
📆 St Dominic Villa Certification and History
- Date First Approved to Provide Medicare and Medicaid Services - 12/8/2000
- Special Focus Status - No Data
- Abuse Icon - N
- Most Recent Health Inspection More Than 2 Years Ago - N
🚨 St Dominic Villa Safety and Features
- Automatic Sprinkler Systems in All Required Areas - Yes
🌟 St Dominic Villa Ratings
- Overall Rating - 1
- Overall Rating Footnote - No Data
- Health Inspection Rating - 1
- Health Inspection Rating Footnote - No Data
- QM Rating - 2
- QM Rating Footnote - No Data
- Long-Stay QM Rating -2
- Long-Stay QM Rating Footnote - No Data
- Short-Stay QM Rating - 3
- Short-Stay QM Rating Footnote - No Data
👩⚕️ St Dominic Villa Staffing and Hours
- Reported Staffing Footnote - No Data
- Physical Therapist Staffing Footnote - No Data
- Reported Nurse Aide Staffing Hours per Resident per Day - 0.04063
- Reported LPN Staffing Hours per Resident per Day - 0.38939
- Reported RN Staffing Hours per Resident per Day - 0.60827
- Reported Total Nurse Staffing Hours per Resident per Day -3.32541
- Total number of nurse staff hours per resident per day on the weekend - 3.08452
- Registered Nurse hours per resident per day on the weekend - 0.44656
- Reported Physical Therapist Staffing Hours per Resident Per Day - 0.04063
🔁 St Dominic Villa Staff Turnover
- Total nursing staff turnover - 69.2
- Total nursing staff turnover footnote - No Data
- Registered Nurse turnover - 61.5
- Registered Nurse turnover footnote - No Data
- Number of administrators who have left the nursing home - No Data
- Administrator turnover footnote - 26
📊 St Dominic Villa Case-Mix Index and Adjusted Staffing
- Nursing Case-Mix Index - 1.13699
- Nursing Case-Mix Index Ratio - 0.83137
- Case-Mix Nurse Aide Staffing Hours per Resident per Day -3.68842
- Case-Mix LPN Staffing Hours per Resident per Day - 1.93211
- Case-Mix RN Staffing Hours per Resident per Day - 0.55757
- Case-Mix Total Nurse Staffing Hours per Resident per Day - 2.84535
- Adjusted Nurse Aide Staffing Hours per Resident per Day - 2.78347
- Adjusted LPN Staffing Hours per Resident per Day - 0.46563
- Adjusted RN Staffing Hours per Resident per Day - 0.72736
- Adjusted Total Nurse Staffing Hours per Resident per Day - 3.97646
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day -3.68842
📋 St Dominic Villa Inspection Cycles
- Standard Survey Health Date - 8/15/2024
- Total Number of Health Deficiencies - 257
- Number of Standard Health Deficiencies - 11
- Number of Complaint Health Deficiencies - 1
- Health Deficiency Score - 171
- Number of Health Revisits - 2
- Health Revisit Score - 86
- Total Health Score - 257
⚠️ St Dominic Villa Incidents, Complaints & Penalties
- Number of Facility Reported Incidents - 0
- Number of Substantiated Complaints - 11
- Number of Citations from Infection Control Inspections - No Data
- Number of Fines - 2
- Total Amount of Fines in Dollars - 129467
- Number of Payment Denials - 2
- Total Number of Penalties - 4
🕒 St Dominic Villa Metadata
- Processing Date - 4/1/2025