Contact Information

ST DOMINIC VILLA
SINSINAWA NURSING INC
2375 SINSINAWA RD
HAZEL GREEN, WI 53811
(608) 748-9814
Non profit - Corporation
Medicare certification date2: December 08, 2000
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

  61 residents

  62 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

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

Staffing

Staffing for 61 residents Wisconsin Average National Average
Hours by Registered Nurse (RN) per resident per day 48 minutes 59 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 16 minutes 34 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 42 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 3 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

DIRECTOR

  • JOHNSTONE, MARY
  • MITCHELL, PAMELA
  • PHELAN, KATHLEEN
  • RATHERT, MARY
  • SCHWAB, JULIE
  • THEIS, KATHLEEN

MANAGING EMPLOYEE

  • CIECIWA, CYNTHIA
  • DOYLE, KRIS

OPERATIONAL/MANAGERIAL CONTROL

  • TRINITY CONTINUING CARE SERVICES

Nursing Home Report

In 2016, ST DOMINIC VILLA charged a total of $439,228 for 17 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 86.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 35% Alzheimer's 41%
Asthma 35% Cancer 18%
Congestive Heart Failure 35% Kidney Disease 24%
COPD 29% Depression 47%
Diabetes 47% Hyperlipidemia 29%
Hypertension n/a Ischemic Heart Disease 29%
Osteoporosis 65% RA / OA 65%
Schizophrenia 0% Stroke 6%
Demographics
Medicare Beneficiaries 17 Average Age 86
Male 0 Female 17
White 17
Black 0
Asian 0
Hispanic 0
American Indian 0
Other 0

Health & Fire Inspection

Most recent health inspection: Aug 17, 2017; fire safety inspection: Aug 17, 2017

Health Deficiencies as of 08/17/2017
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 1
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 08/17/2017
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
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