Waterfall Health of Brown Deer: Data Analysis and Ratings
7500 W DEAN RD, MILWAUKEE, WI 53223 (414-371-7595)
CMS 5-Star Rating:
Data as of: August 01, 2023
The Most Important Data about Waterfall Health of Brown Deer
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at Waterfall Health of Brown Deer. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(1 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: NA
(The national average is 3.76 )
According to our analysis, Waterfall Health of Brown Deer is ranked #56 out of 56 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Waterfall Health of Brown Deer.
What is this page all about?
Below is everything shred of information that we can find about Waterfall Health of Brown Deer, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: August 01, 2023
Address: 7500 W DEAN RD, MILWAUKEE, WI 53223
Phone: 414-371-7595
Ranking: Waterfall Health of Brown Deer is ranked #25 out of 25 facilities within a 10 mile radius and #56 out of 56 facilities within a 25 mile radius.
Medicare Provider Number: 525498
Participating in Medicare Since: October 01, 1992
No. of Certified Beds: 87
No. of Residents: 40
Occupancy: 45.98 % (as of 08/13/2023 )
Amount fined in recent period: $735,822.56
Complaints filed: 43
Ratings History for Waterfall Health of Brown Deer
Review of Waterfall Health of Brown Deer Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 1: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of June 20, 2022) | 224 |
| Cycle 2 Score (as of March 03, 2021) | 2516 |
| Cycle 3 Score (as of October 23, 2019) | 271 |
| Weighted All Cycles Score | 996 |
It has been 13 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Waterfall Health of Brown Deer including health, fire, and inspection control inspections:
No Inspection Information is Available
Owner and Operator Information for Waterfall Health of Brown Deer
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
Legal Business Name Not Available
Managers and Directors:
No Information provided
Analysis of Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
Detailed nursing hours for Waterfall Health of Brown Deer are not available for the current reporting period.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | NA | 0.97 / 0.66 |
| Case Mix | NA | 0.38 / 0.39 |
| Adjusted | NA | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | NA | 0.61 / 0.89 |
| Case Mix | NA | NA / NA |
| Adjusted | NA | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | NA | 2.32 / 2.22 |
| Case Mix | NA | NA / NA |
| Adjusted | NA | NA / NA |
| Total Licensed Staff | ||
| Hours | N/A | 1.57 / 1.55 |
| Physical Therapist (PT) | ||
| Hours | NA | 0.07 / 0.07 |
| Total Nursing Homes Spent per Resident on Average | ||
| Hours | NA | 3.89 / 3.76 |
| Case Mix | NA | 3.16 / 3.17 |
| Adjusted | NA | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc. | State Avg. / Comparison |
|---|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) | Not Available | |
| Percentage of short-stay residents who had an outpatient emergency department visit (qm522) | Not Available | |
| Number of hospitalizations per 1000 long-stay resident days (qm551) | Not Available | |
| Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) | Not Available | |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) | 24.8% |
13.8% Worse |
| Percentage of long-stay residents who lose too much weight (qm404) | 20.8% |
5.5% Worse |
| Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) | 64.2% |
49.6% Worse |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) | 2.1% |
3.0% Better |
| Percentage of long-stay residents with a urinary tract infection (qm407) | 0.6% |
3.2% Better |
| Percentage of long-stay residents who have depressive symptoms (qm408) | 4.1% |
6.0% Better |
| Percentage of long-stay residents who were physically restrained (qm409) | 0.0% |
0.1% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) | 7.3% |
3.3% Worse |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) | 69.5% |
95.2% Worse |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) | 2.3% |
14.3% Better |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) | 45.9% |
87.1% Worse |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) | 8.0% |
1.1% Worse |
| Percentage of long-stay residents whose ability to move independently worsened (qm451) | 37.4% |
17.3% Worse |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) | 10.0% |
15.6% Better |
| Percentage of high risk long-stay residents with pressure ulcers (qm453) | 33.0% |
7.6% Worse |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) | 82.6% |
94.8% Worse |
| Percentage of short-stay residents who made improvements in function (qm471) | 61.0% |
77.0% Worse |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) | 50.6% |
79.0% Worse |
Waterfall Health of Brown Deer Violations, Complaints and Fines
These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.
Amount fined in recent period: $735,822.56, Complaints filed: 43
| Deficiency | Deficiency Date / Date Corrected |
|---|---|
| Establish an Emergency Preparedness Program (EP). (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Properly provide smoke detection systems in areas open to corridors. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Ensure proper usage of power strips and extension cords. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Have proper medical gas storage and administration areas. (Fire Safety) | 10-11-2019 / 11-01-2019 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 10-23-2019 / 11-12-2019 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 10-23-2019 / 11-12-2019 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 10-23-2019 / 11-12-2019 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 10-23-2019 / 11-12-2019 |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Health) | 10-23-2019 / 11-12-2019 |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (Health) | 10-23-2019 / 11-12-2019 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 10-23-2019 / 11-12-2019 |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Health) | 10-23-2019 / 11-12-2019 |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. (Health) | 10-23-2019 / 11-12-2019 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 10-23-2019 / 11-12-2019 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 10-23-2019 / 11-12-2019 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Health) | 10-23-2019 / 11-12-2019 |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. (Health) | 10-23-2019 / 11-12-2019 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 10-23-2019 / 11-12-2019 |
| Provide and implement an infection prevention and control program. (Health) | 10-23-2019 / 11-12-2019 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Health) | 10-23-2019 / 11-12-2019 |
| Provide and implement an infection prevention and control program. (Health) | 09-02-2020 / 09-24-2020 |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Health) | 12-16-2020 / 01-18-2021 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Health) | 12-16-2020 / 01-18-2021 |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Health) | 12-16-2020 / 01-18-2021 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Health) | 12-16-2020 / 01-18-2021 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (Health) | 12-16-2020 / 01-18-2021 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. (Health) | 12-16-2020 / 01-18-2021 |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Health) | 12-16-2020 / 01-18-2021 |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Health) | 12-16-2020 / 01-18-2021 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 12-16-2020 / 01-18-2021 |
| Provide and implement an infection prevention and control program. (Health) | 12-16-2020 / 01-18-2021 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 01-21-2021 / 02-01-2021 |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. (Health) | 01-21-2021 / 02-09-2021 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 01-21-2021 / 02-01-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 01-21-2021 / 02-09-2021 |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. (Fire Safety) | 02-16-2021 / 03-26-2021 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 02-16-2021 / 03-26-2021 |
| Reasonably accommodate the needs and preferences of each resident. (Health) | 03-03-2021 / 04-08-2021 |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Health) | 03-03-2021 / 04-08-2021 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 03-03-2021 / 04-08-2021 |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Health) | 03-03-2021 / 04-08-2021 |
| Observe each nurse aide's job performance and give regular training. (Health) | 03-03-2021 / 04-08-2021 |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (Health) | 03-03-2021 / 04-08-2021 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 03-03-2021 / 04-08-2021 |
| Employ staff that are licensed, certified, or registered in accordance with state laws. (Health) | 03-03-2021 / 04-08-2021 |
| Provide and implement an infection prevention and control program. (Health) | 03-03-2021 / 04-09-2021 |
| Respond appropriately to all alleged violations. (Health) | 03-03-2021 / 04-08-2021 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 03-03-2021 / 04-08-2021 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 03-03-2021 / 04-08-2021 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 03-03-2021 / 04-08-2021 |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. (Health) | 11-03-2021 / 11-08-2021 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Health) | 11-03-2021 / 11-09-2021 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 11-03-2021 / 11-09-2021 |
| Ensure that residents are free from significant medication errors. (Health) | 11-03-2021 / 11-08-2021 |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Health) | 11-03-2021 / 11-12-2021 |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. (Health) | 01-25-2022 / 02-23-2022 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Health) | 01-25-2022 / 02-23-2022 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 01-25-2022 / 02-23-2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 01-25-2022 / 02-23-2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 01-25-2022 / 02-23-2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 01-25-2022 / 02-23-2022 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 01-25-2022 / 02-09-2022 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Health) | 01-25-2022 / 02-23-2022 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 01-25-2022 / 02-23-2022 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 01-25-2022 / 02-23-2022 |
| Ensure that residents are free from significant medication errors. (Health) | 01-25-2022 / 02-23-2022 |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. (Health) | 01-25-2022 / 02-23-2022 |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Health) | 01-25-2022 / 02-09-2022 |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Health) | 01-25-2022 / 02-23-2022 |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Health) | 01-25-2022 / 02-23-2022 |
| Provide and implement an infection prevention and control program. (Health) | 01-25-2022 / 02-23-2022 |
| Perform COVID19 testing on residents and staff. (Health) | 01-25-2022 / 02-23-2022 |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Health) | 01-25-2022 / 02-23-2022 |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Health) | 01-25-2022 / 02-23-2022 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Health) | 04-14-2022 / 06-06-2022 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Health) | 04-14-2022 / 06-06-2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 04-14-2022 / 06-06-2022 |
| Respond appropriately to all alleged violations. (Health) | 04-14-2022 / 06-06-2022 |
| PASARR screening for Mental disorders or Intellectual Disabilities (Health) | 04-14-2022 / 06-06-2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 04-14-2022 / 06-06-2022 |
| Honor each resident's preferences, choices, values and beliefs. (Health) | 04-14-2022 / 06-06-2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 04-14-2022 / 06-06-2022 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 04-14-2022 / 06-06-2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 04-14-2022 / 06-06-2022 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Health) | 04-14-2022 / 06-06-2022 |
| Provide enough food/fluids to maintain a resident's health. (Health) | 04-14-2022 / 06-06-2022 |
| Provide safe and appropriate respiratory care for a resident when needed. (Health) | 04-14-2022 / 06-06-2022 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Health) | 04-14-2022 / 06-06-2022 |
| Observe each nurse aide's job performance and give regular training. (Health) | 04-14-2022 / 06-06-2022 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Health) | 04-14-2022 / 06-06-2022 |
| Ensure that residents are free from significant medication errors. (Health) | 04-14-2022 / 06-06-2022 |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Health) | 04-14-2022 / 06-06-2022 |
| Perform COVID19 testing on residents and staff. (Health) | 04-14-2022 / 07-18-2022 |
| Ensure staff are vaccinated for COVID-19 (Health) | 04-14-2022 / 07-18-2022 |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Health) | 04-19-2022 / 06-06-2022 |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (Health) | 04-19-2022 / 06-06-2022 |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Health) | 04-19-2022 / 06-06-2022 |
| Assure that each resident?s assessment is updated at least once every 3 months. (Health) | 04-19-2022 / 06-06-2022 |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (Health) | 04-19-2022 / 06-06-2022 |
| Ensure a qualified health professional conducts resident assessments. (Health) | 04-19-2022 / 06-06-2022 |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Health) | 04-19-2022 / 06-06-2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 04-19-2022 / 07-18-2022 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Health) | 04-19-2022 / 06-06-2022 |
| Provide and implement an infection prevention and control program. (Health) | 04-19-2022 / 06-06-2022 |
| Give the resident's representative the ability to exercise the resident's rights. (Health) | 04-29-2022 / 06-06-2022 |
| Conduct testing and exercise requirements. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Provide properly protected cooking facilities. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Have approved installation, maintenance and testing program for fire alarm systems. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Install an approved automatic sprinkler system. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Inspect, test, and maintain automatic sprinkler systems. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Properly select, install, inspect, or maintain portable fire extinguishes. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. (Fire Safety) | 06-15-2022 / 07-25-2022 |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (Fire Safety) | 06-15-2022 / 07-25-2022 |
| Have simulated fire drills held at unexpected times. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Have generator or other power source capable of supplying service within 10 seconds. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Meet requirements for the use of electrical equipment. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Ensure proper usage of power strips and extension cords. (Fire Safety) | 06-15-2022 / 07-18-2022 |
| Ensure each resident receives an accurate assessment. (Health) | 06-20-2022 / 07-18-2022 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Health) | 06-20-2022 / 07-18-2022 |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Health) | 06-20-2022 / 07-18-2022 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (Health) | 06-20-2022 / 07-18-2022 |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Health) | 06-20-2022 / 07-18-2022 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Health) | 06-20-2022 / 07-18-2022 |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Health) | 06-20-2022 / 07-18-2022 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. (Health) | 06-20-2022 / 07-18-2022 |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Health) | 06-20-2022 / 07-18-2022 |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (Health) | 06-20-2022 / 07-18-2022 |
| Ensure medication error rates are not 5 percent or greater. (Health) | 06-20-2022 / 07-18-2022 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Health) | 06-20-2022 / 07-18-2022 |
| Provide timely, quality laboratory services/tests to meet the needs of residents. (Health) | 06-20-2022 / 07-18-2022 |
| Provide and implement an infection prevention and control program. (Health) | 06-20-2022 / 07-18-2022 |
| Implement a program that monitors antibiotic use. (Health) | 06-20-2022 / 07-18-2022 |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (Health) | 06-20-2022 / 07-18-2022 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Health) | 06-20-2022 / 07-18-2022 |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Health) | 06-20-2022 / 07-18-2022 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Health) | 06-20-2022 / 07-18-2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. (Health) | 06-20-2022 / 07-18-2022 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Health) | 06-20-2022 / 07-18-2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Health) | 06-20-2022 / 07-18-2022 |
| Provide enough food/fluids to maintain a resident's health. (Health) | 06-20-2022 / 07-18-2022 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Health) | 06-20-2022 / 07-18-2022 |
| Employ staff that are licensed, certified, or registered in accordance with state laws. (Health) | 06-20-2022 / 07-18-2022 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Health) | 09-28-2022 / 10-21-2022 |
| Provide and implement an infection prevention and control program. (Health) | 09-28-2022 / 10-21-2022 |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (Health) | 09-28-2022 / 10-21-2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Health) | 06-07-2023 / 07-06-2023 |
| Respond appropriately to all alleged violations. (Health) | 06-07-2023 / 07-06-2023 |
Hospitals Near Waterfall Health of Brown Deer
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Waterfall Health of Brown Deer.
This information is based on the most recent Hospital data. Historical data is not available.
| Hospital | 5-Star Overall Rating |
|---|---|
|
ASCENSION SE WISCONSIN HOSPITAL 5000 W CHAMBERS ST MILWAUKEE, WI 53210 |
2 |
|
ASCENSION ST FRANCIS HOSPITAL 3237 S 16TH ST MILWAUKEE, WI 53215 |
2 |
|
WAUKESHA MEMORIAL HOSPITAL 725 AMERICAN AVE WAUKESHA, WI 53188 |
3 |
|
ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE 2323 N LAKE DR MILWAUKEE, WI 53211 |
3 |
|
WEST ALLIS MEMORIAL HOSPITAL 8901 W LINCOLN AVE WEST ALLIS, WI 53227 |
3 |
|
FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 |
3 |
|
AURORA MEDICAL CTR WASHINGTON COUNTY 1032 E SUMNER ST HARTFORD, WI 53027 |
4 |
|
AURORA ST LUKES MEDICAL CENTER 2900 W OKLAHOMA AVE MILWAUKEE, WI 53215 |
4 |
|
OCONOMOWOC MEMORIAL HOSPITAL 791 E SUMMIT AVE OCONOMOWOC, WI 53066 |
4 |
|
AURORA MEDICAL CENTER - SUMMIT 36500 AURORA DRIVE SUMMIT, WI 53066 |
4 |
|
COMMUNITY MEMORIAL HOSPITAL W180 N8085 TOWN HALL RD MENOMONEE FALLS, WI 53051 |
5 |
|
AURORA MEDICAL CENTER 975 PORT WASHINGTON ROAD GRAFTON, WI 53024 |
5 |
|
ST JOSEPHS COMMUNITY HOSPITAL WEST BEND 3200 PLEASANT VALLEY ROAD WEST BEND, WI 53095 |
5 |
|
FROEDTERT COMMUNITY HOSPITAL 4805 S MOORLAND RD NEW BERLIN, WI 53151 |
Not Available |
|
ASCENSION WISCONSIN HOSP MENOMONEE FALLS CAMPUS N88W14275 MAIN STREET, SUITE 100 MENOMONEE FALLS, WI 53051 |
Not Available |
|
CHILDRENS HOSPITAL OF WISCONSIN 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 |
Not Available |
|
ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE 13111 N PORT WASHINGTON RD MEQUON, WI 53097 |
Not Available |
|
AURORA PSYCHIATRIC HOSPITAL 1220 DEWEY AVE WAUWATOSA, WI 53213 |
Not Available |
|
ORTHOPAEDIC HOSPITAL OF WI 475 W RIVER WOODS PKWY GLENDALE, WI 53212 |
Not Available |
|
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL 10101 SOUTH 27TH ST 2ND FLOOR FRANKLIN, WI 53132 |
Not Available |
Medical Professionals Associated with Waterfall Health of Brown Deer
These are the doctors who are affiliated with Waterfall Health of Brown Deer. The data is from the most recent period. Historical data is not available.
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Waterfall Health of Brown Deer
Five different rating results plus detailed inspection numbers and quality measures for Waterfall Health of Brown Deer.
Covid Infections at Waterfall Health of Brown Deer
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Waterfall Health of Brown Deer
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
Ownership Details for Waterfall Health of Brown Deer
A list of all of the registered owners for Waterfall Health of Brown Deer. This includes direct and indirect owners and managers.
Noted Deficiencies for Waterfall Health of Brown Deer
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Waterfall Health of Brown Deer compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in MILWAUKEE, WI
Homes that you should consider. A list ranking the best skilled nursing facilities in MILWAUKEE based on their weighted inspection score as of August 01, 2023.
Worst Nursing Homes in MILWAUKEE, WI
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in MILWAUKEE based on their weighted inspection score as of August 01, 2023.
Other Data Periods:
Data on Waterfall Health of Brown Deer is available for the following periods:
