Contact Information

BORNEMANN NURSING HOME
BORNEMANN OPERATING COMPANY LLC
226 BORNEMANN ST
GREEN BAY, WI 54302
(920) 468-8675
For profit - Partnership
Medicare certification date2: August 01, 1995
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  58 residents

  127 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 10
Facility reported incidents 1
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 58 residents Wisconsin Average National Average
Hours by Registered Nurse (RN) per resident per day 36 minutes 59 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 14 minutes 34 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 13 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 7 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • ESI WI HOLDINGS IV LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • TOKARCZYK, STEVEN

MANAGING EMPLOYEE

  • KONKEL, JANEL

OPERATIONAL/MANAGERIAL CONTROL

  • TOKARCZYK, STEVEN

Nursing Home Report

In 2016, BORNEMANN NURSING HOME charged a total of $2,557,911 for 124 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 76.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 26% Alzheimer's 43%
Asthma 31% Cancer 16%
Congestive Heart Failure 51% Kidney Disease 71%
COPD 30% Depression 48%
Diabetes 50% Hyperlipidemia n/a
Hypertension n/a Ischemic Heart Disease 52%
Osteoporosis 18% RA / OA 62%
Schizophrenia 11% Stroke 16%
Demographics
Medicare Beneficiaries 124 Average Age 76
Male 52 Female 72
White 120
Black 0
Asian n/a
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Oct 18, 2017; fire safety inspection: Oct 17, 2017

Health Deficiencies as of 10/18/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 10/17/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies 1
Corridor Walls and Doors None
Egress Deficiencies 2
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 6
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also