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Consumer Information Report for Nursing Homes
Summary 2022
CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC
2650 65TH AVE
OSCEOLA, WI
54020
(
715
)
294
-
1100
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License Number: 5037 Medicare Certified? YES
Number of Licensed Beds: 40 Medicaid Certified? YES
Ownership Type: Non Profit Corporation
Owner: CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC
This two-page summary was prepared by the Division of Quality Assurance, Wisconsin Department of
Health Services. For questions about this report, call (608) 264-9898. See the full report on the internet (
after
5/1/2023) at https://www.dhs.wisconsin.gov/guide/cir.htm or request a copy (after 5/1/2023) at (608)
266-8368. The report should also be available in the facility.
Part-time Nurse Aides
Full-time Nurse Aides
Part-time Nurses (LPNs)
Full-time Nurses (LPNs)
Part-time Nurses (RNs)
Full-time Nurses (RNs)
State of Wisconsin
Average
(277 homes reporting)
POLK
County Average
(5 homes reporting)
This Home
(NS=no staff)
Staff Retention Rates
(Percent of staff employed for at least one year)
Nursing Home Staff
Staff Retention Rates
*If the number of residents is a "*" in one of the categories above, there was an average of <1 nurse or NA
on the shift. There may have been a combination of part-time RNs, LPNs or NAs on the shift on one or
more days during the two-week time period, which could make the average <1. Per Wisconsin
Administrative Code, Chapter HFS 132, there must be at least one RN or LPN on duty at all times.
Nurse Aides
Nurses (RNs & LPNs)
Night ShiftEvening ShiftDay Shift
Nursing
Home Staff
Staff:Residents, by shift, in a two-week time period
(Average number of residents: 22)
Staff: Residents
69% 73%
71%
67%
64%
66%46%
53%
90%
68%
71% 56%
50%
0%
0%
100%
33%
60%
1 NA: 8 Residents
1 Nurse: 12 Residents 1 Nurse: 12 Residents 1 Nurse: 22 Residents
1 NA: 8 Residents 1 NA: 11 Residents
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CHRISTIAN COMMUNITY HOME OF
OSCEOLA, INC
CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC
This summary table provides a count of federal violations cited for this nursing home in 2022, by
category of violation. County and state averages are shown for comparison. Surveys are conducted
by the Division of Quality Assurance at least every 9-15 months, and may be conducted more often.
This home was not cited with Substandard Quality of Care during the year 2022. See the full
Consumer Information Report 2022 for details.
Federal Violations Cited in State "Inspection" Surveys for
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Federal Violations in 2022
Federal Regulation
Categories*
* Each category consists of many specific
regulations. See detail in report.
Total #
Citations for
this Home
(NS = Facility not
surveyed in 2022)
Average #
Citations for
POLK
County
(6 homes)
Average #
Citations for
Wisconsin
(333 homes
surveyed in 2022)
3.8 3.5
1.3
0.5
1.2
0.8
1.0
0.5
0.7
0.7
8.2
8.8
Quality of Care: Provide care that promotes
resident's highest level of well-being.
Example: Prevent/treat pressure sores.
Resident Services: Provide services that meet
state standards. Example: Develop a
comprehensive care plan for each resident.
Quality of Life: Provide a pleasant, homelike
atmosphere. Example: Provide an activities
program that meets needs and interests.
Resident Rights:
Assure individual rights.
Example: Assure right to personal privacy.
Freedom from Abuse: Assure freedom from
abuse, neglect, or restraints. Example: Assure the
right to be free from abuse.
Staffing/Staff Training:
Provide adequate and
qualified staff. Provide traing to staff on policies
and procedures. Example: Provide sufficient and
competent nursing staff.
Pharmacy/Lab Services: Provide or obtain
medications and lab services. Example:
Residents are free of significant medication
errors.
Administration: Use resources to promote
resident's highest level of well-being. Example:
Must have governing body to ensure safe and
efficient management of the facility.
1.2 0.9
0.2 0.3
Total Violations
6
0
0
0
0
1
0
0
7
0.2 0.3
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CHRISTIAN COMMUNITY HOME OF
OSCEOLA, INC
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Consumer Information Report for Nursing Homes
2022
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INTRODUCTION
(
715
)
294
-
1100
CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC
2650 65TH AVE
OSCEOLA, WI
54020
License Number: 5037
DQA Regional Office: NORTHWESTERN
Ownership Type: Non Profit Corporation
Owner (Licensee):
CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC
Federal Certification Level: MEDICARE (TITLE 18) SKILLED NURSING FACILITY (SNF)
MEDICAID (TITLE 19) NURSING FACILITY (NF)
SECTION 1 - FEDERAL REGULATION DEFICIENCIES
Section 1 of this report describes the numbers and types of Federal regulation deficiencies
found during surveys conducted in 2022. "Deficiencies" are cited for noncompliance with
Federal regulations. This section also compares these numbers to averages for all nursing homes
of similar size.
SECTION 2 - NURSING STAFF TURNOVER AND RETENTION RATES
Section 2 provides information about nursing staff turnover and retention
rates at this nursing
home in 2022. It compares these rates to the averages for all nursing homes of similar size.
APPENDICES (on the internet after 5/1/2023) include:
Appendix A - a list of resource agencies for consumers;
Appendix B - information about how nursing staff turnover & retention rates are
calculated; and
Appendix C - statewide averages.
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CHRISTIAN COMMUNITY HOME OF
OSCEOLA, INC
SECTION 1 - SURVEY RESULTS FOR THIS FACILITY
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Nursing homes in Wisconsin operate under rules enacted by the Federal government
(for
the Medicare and/or Medicaid programs) and by the State of Wisconsin. Surveyors from
the Wisconsin Division of Quality Assurance conduct unannounced inspections at each
nursing home at least once every 9 to 15 months to determine if the nursing home
complies with all State and Federal rules. State surveyors also conduct follow-up visits
to ensure that violations have been corrected, investigate complaints, and conduct other
surveys as necessary.
When state surveyors determine that a nursing home is not in compliance with a Federal
regulation, the nursing home is cited with a violation or "deficiency". The number and
type of violations for surveys conducted in 2022 are described in this report.
The number of federal regulation deficiencies cited in Wisconsin nursing homes during
2022 surveys ranged from 0 to 100, with an average of 8.8 citations.
In 2022 survey(s), CHRISTIAN COMMUNITY HOME OF OSCEOLA,
INC, OSCEOLA, which has 40 licensed beds, was cited with:
7 Federal regulation deficiency(ies)
Statewide, the average number of deficiencies for a nursing home with
1-49 beds was 5.0.
In addition, this home was cited with 4 federal building safety violations and 1 federal
emergency preparedness violations.
The number of federal building safety violations statewide in 2022 ranged from
0 to 22, with an average of 6.0 citations.
The number of federal emergency preparedness violations statewide in 2022 ranged from
0 to 4, with an average of 0.3 citations.
Finally, when there is no comparable requirement under federal regulations, nursing
facilities may be cited for deficient practices under state regulations. The number of state
regulation deficiencies cited in Wisconsin nursing homes during 2022 surveys ranged from
0 to 2, with an average of 0.07 citations. This home was cited with 0 state regulation
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CHRISTIAN COMMUNITY HOME OF
OSCEOLA, INC
Federal Regulation Deficiencies:
To determine Federal regulation deficiencies, surveyors use a resident-centered,
outcome-based process. Equal emphasis is placed on the quality of care the resident
receives and on the quality of the resident's life in the nursing home, and on whether or
nor the resident's rights, dignity and privacy are respected. These factors are evaluated by
observing residents' care; interviewing residents, families and staff; and reviewing
medical records.
If it is determined that a Federal regulation deficiency exists, the deficiency is placed on a
grid. Grid placement is based on two measures:
• Severity/Harm, the degree of impact that a deficient practice has
on residents at the facility; and
• Scope/Frequency, the prevalence of a deficient practice within a
facility, or the proportion of residents who were or could have
been affected.
All Federal deficiencies fit into one of the following four grid levels, from most to least
serious: Immediate Jeopardy, Significant Correction, Correction and Substantial
Compliance. If this home had deficiencies at any of the four grid levels in the last
survey, those deficiencies are listed below. Each deficiency listed is followed by the
abbreviation of its federal regulation category: Quality of Care (QC), Resident Services
(RS), Quality of Life (QL), Resident Rights (RR), Freedom from Restraints/Abuse
(FA), Staffing/Staff Training (ST), Pharmacy/Lab Services (PL), and Administration (AD). A
deficiency may be listed more than once if it was cited more than once during the year.
Also, some citations share the same title, so you may see separate citations listed with the
same title on the same date.
Certain Federal regulation deficiencies at the Immediate Jeopardy, Significant Correction
and Correction grid levels cause a nursing home to be designated as having "Substandard
Quality of Care (SQC)".
This home was not designated with SQC during the year
2022. 50 Wisconsin nursing homes received the SQC designation in 2022. SQC
deficiencies constitute: immediate jeopardy to resident health or safety; a pattern of or
widespread actual harm that is not immediate jeopardy; or widespread potential for more
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CHRISTIAN COMMUNITY HOME OF
OSCEOLA, INC
Immediate Jeopardy. This deficiency exists when a situation caused (or is likely to
cause) serious injury, serious harm, impairment or death to a resident receiving care in
the facility AND facility practice makes it probable that similar actions, situations,
practices, or incidents will occur again
. Immediate corrective action is needed. The
nursing home received 0 Immediate Jeopardy deficiencies in 2022.
Significant Correction.
This deficiency exists when a situation resulted in a
negative.outcome that compromised a resident's ability to maintain or reach his/her
highest practicable physical, mental, or psychosocial well-being. This nursing home
received 1 Significant Correction deficiencies in 2022.
DEFICIENCY CATEGORY SURVEY DATE
QC 01/05/2022Free Of Accident Hazards/Supervision/Devices
Correction. This deficiency exists when a situation resulted in minimal physical,
mental, or psychosocial discomfort to a resident and/or has the potential (not yet realized)
to compromise a resident's ability to maintain or reach his/her highest practicable
physical, mental, or psychosocial well
-being. This nursing home received 6 Correction
deficiencies in 2022.
DEFICIENCY CATEGORY SURVEY DATE
QC 01/05/2022Bowel/Bladder Incontinence, Catheter, Uti
PL 01/05/2022Free From Unnec Psychotropic Meds/Prn Use
QC 01/05/2022Infection Prevention & Control
QC 01/05/2022Influenza And Pneumococcal Immunizations
QC 01/05/2022Quality Of Care
QC 02/23/2022Free Of Accident Hazards/Supervision/Devices
Substantial Compliance. This deficiency exists when a situation has the potential for causing
only minor negative impact on residents. This nursing home received 0
Substantial Compliance
deficiencies in 2022.
For questions about this report, call (608) 264-9898. For further information about specific
violations or more recent surveys, contact the administrator of this facility or the Division of
Quality Assurance at (608) 266-8368.
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6
CHRISTIAN COMMUNITY HOME OF
OSCEOLA, INC
This section provides two measures describing the rate of change among nursing employees
from January 1, 2022, through December 31, 2022: a "turnover rate" and a "retention rate." The
turnover rate is based on new hires during the year as a proportion of total staffing in a category
.
The retention rate is based on the proportion of staff in a category at the beginning of the year
who are still employed by the end of the year. The formulas used to calculate nurse staffing
turnover and one-year retention rates are explained in Appendix B.
Rates are calculated separately for full-time employees, persons working 37.5
hours or more per
week, and part-time employees, persons working less than 37.5 hours per week. An "NS"
indicates the nursing home reported having no staff in that particular category.
Registered nurses
(RNs) are nurses who are licensed and hold a certificate of registration by the State of
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SECTION 2 - NURSING STAFF TURNOVER AND RETENTION
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· A turnover rate for full-time RNs of 50%, vs. 50% statewide and 31%
across all nursing homes with 1-49 beds.
·
A turnover rate for part-time RNs of 100%,
vs. 61% statewide and 49%
across all nursing homes with 1-49 beds.
In some cases, the turnover rate might be artificially high because one position changes
frequently throughout the year. For example, if a nursing home with ten nurses had one position
that was filled by five people throughout the year, the turnover rate is 50% (5 divided by 10)
even though nine of the ten nurses did not change. The "retention rate" captures a sense of the
stability of staff outside of the positions that changed frequently. In the example just used, the
one-year retention rate is 90% (i.e., nine of the ten nurses had worked at least one year).
In 2022, this nursing home had:
· A retention rate for full-time RNs of 50%, vs. 73% statewide and 80%
across all nursing homes with 1-49 beds.
· A retention rate for part-time RNs of 0%, vs. 66% statewide and 69%
across all nursing homes with 1-49 beds.
Licensed practical nurses (LPNs) are nurses who are licensed by the State of Wisconsin as
practical nurses
. At this nursing home in 2022, there was:
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CHRISTIAN COMMUNITY HOME OF
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· A turnover rate for full-time LPNs of 100%, vs. 53% statewide and 43%
across all nursing homes with 1-49 beds.
· A turnover rate for part-time LPNs of 0%, vs. 87% statewide and 58%
across all nursing homes with 1-49 beds.
· A retention rate for full-time LPNs of 0%, vs. 71% statewide and 74%
across all nursing homes with 1-49 beds.
· A retention rate for part-time LPNs of 100%, vs. 67% statewide and 63%
across all nursing homes with 1-49 beds.
Nursing assistants
(NAs) provide direct personal care to residents, but are not registered nurses
or licensed practical nurses. At this nursing home in 2022, there was:
· A turnover rate for full-time NAs of 67%, vs. 89% statewide and 61%
across all nursing homes with 1-49 beds.
· A turnover rate for part-time NAs of 40%, vs. 106% statewide and 65%
across all nursing homes with 1-49 beds.
·
A retention rate for full-time NAs of 33%,
vs. 64% statewide and 69%
across all nursing homes with 1-49 beds.
· A retention rate for part-time NAs of 60%, vs. 56% statewide and 55%
across all nursing homes with 1-49 beds.
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CHRISTIAN COMMUNITY HOME OF
OSCEOLA, INC
