Contact Information

PINE HAVEN CHRISTIAN HOME
PINE HAVEN CHRISTIAN HOME INC
220 HAVEN DRIVE
SHEBOYGAN FALLS, WI 53085
(920) 467-2401
Non profit - Corporation
Medicare certification date2: March 05, 2004
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

  46 residents

  50 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 1
Facility reported incidents 1
Number of fines 1
Number of penalties 1
Number of payment denials None

Staffing

Staffing for 46 residents Wisconsin Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 21 minutes 59 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 39 minutes 34 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 3 hours, 4 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 8 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 MORTGAGE INTEREST

  • WISCONSIN BANK AND TRUST

DIRECTOR

  • BRASSER, DAVE
  • BROETZMANN, JEFF
  • BUTEYN, JANE
  • BUYZE, ROGER
  • DESMIDT, ROBERT
  • FOLEY, MIKE
  • HOFFMAN, JACK
  • HUIBREGTSE, NORENE
  • JENTINK, GENE
  • KOEHLER, KEN
  • LEMMENES, AUDLEY
  • LORENZ, LARRY
  • MOODY, BETTY
  • NYHUIS, ROBERT
  • TEMPAS, CHRISTINE
  • TEN PAS, GENNY

MANAGING EMPLOYEE

  • WALVOORT, RONALD

OFFICER

  • HALVERSON, MARTIN
  • HENDRIKSE, STEVE
  • WALVOORT, RONALD

Nursing Home Report

In 2016, PINE HAVEN CHRISTIAN HOME charged a total of $2,633,683 for 99 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 81.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 31% Alzheimer's 34%
Asthma 22% Cancer 21%
Congestive Heart Failure 44% Kidney Disease 58%
COPD 19% Depression 36%
Diabetes 31% Hyperlipidemia 68%
Hypertension n/a Ischemic Heart Disease 46%
Osteoporosis 21% RA / OA 62%
Schizophrenia 3% Stroke 10%
Demographics
Medicare Beneficiaries 99 Average Age 81
Male 37 Female 62
White 97
Black 0
Asian 0
Hispanic 0
American Indian n/a
Other n/a

Health & Fire Inspection

Most recent health inspection: Feb 08, 2018; fire safety inspection: Feb 06, 2018

Health Deficiencies as of 02/08/2018
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 2
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 02/06/2018
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

Other Nursing Homes near by

→ 5.5 mi

SHEBOYGAN PROGRESSIVE HEALTH SERVICES

1902 MEAD AVE
SHEBOYGAN, WI 53081
→ 5.5 mi

SUNNY RIDGE REHABILITATION CENTER LLC

3014 ERIE AVE
SHEBOYGAN, WI 53081
→ 5.5 mi

MEADOW VIEW HEALTH SERVICES

3613 S 13TH ST
SHEBOYGAN, WI 53081
→ 6.8 mi

SHEBOYGAN HEALTH SERVICES

3129 MICHIGAN AVE
SHEBOYGAN, WI 53082
→ 8.4 mi

ROCKY KNOLL HEALTH CARE

N7135 ROCKY KNOLL PARKWAY
PLYMOUTH, WI 53073
→ 8.4 mi

ATRIUM POST ACUTE CARE OF PLYMOUTH

916 E CLIFFORD ST
PLYMOUTH, WI 53073
→ 8.8 mi

SHEBOYGAN SENIOR COMMUNITY INC

3505 COUNTY ROAD Y
SHEBOYGAN, WI 53083
→ 8.8 mi

MORNINGSIDE HEALTH SERVICES

3431 N 13TH ST
SHEBOYGAN, WI 53083
→ 20.6 mi

HERITAGE HEALTH SERVICES

1119 N WISCONSIN ST
PORT WASHINGTON, WI 53074
→ 20.7 mi

VILLA LORETTO NURSING HOME

N8114 COUNTY WW
MOUNT CALVARY, WI 53057

See also