Juneau, WI

Clearview Brain Injury Center

5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle

198 County Df, Juneau, WI

(920) 386-3400

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

14

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2011-01-20

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.60

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

4.91

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

7.48

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

2.57

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

6.80

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

1.05

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.61

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

2.10

CMS adjusted RN staffing hours

Adjusted total hours

9.82

CMS adjusted total nurse staffing hours

Case-mix index

1.04

Higher values indicate more complex resident acuity

RN turnover

30%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

21%

Annual nurse turnover · state 48% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary Not Available
1.02
This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
95.7%
2.4 pts better
93.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 98.1%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.2%
3.2 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 5.9%
5.0%
0.9 pts worse
11.4%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.9%
Percentage of long-stay residents who lose too much weight 0.0%
4.9%
4.9 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.3%
16.6%
5.3 pts better
19.6%
8.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.3%
Percentage of long-stay residents who received an antipsychotic medication 55.0%
16.7%
38.3 pts worse
16.7%
38.3 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 55.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 5.7%
21.1%
15.4 pts better
16.3%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 4.9%
17.3%
12.4 pts better
14.9%
10 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.8%
2.3%
4.5 pts worse
1.0%
5.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
3.0%
3 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.5%
25.5%
15 pts better
19.8%
9.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.5%
Percentage of long-stay residents with pressure ulcers 3.1%
5.5%
2.4 pts better
5.1%
2 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
86.8%
13.2 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-09 · Fire 2025-04-09

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-05-08 · Fire 2024-05-08

1 health deficiencies

Top issue: Administration (1 deficiency)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-03-22 · Fire 2023-03-22

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-09

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-04-09

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-04-09

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-04-09

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-04-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-30

F · Potential for more than minimal harm 2024-05-08

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-05-24

F · Potential for more than minimal harm 2024-05-08

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-05-24

E · Potential for more than minimal harm 2024-05-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-24

D · Potential for more than minimal harm 2024-05-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-05-24

F · Potential for more than minimal harm 2023-03-22

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-04-06

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-05-08

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-05-24

Penalties and ownership

What sits behind the stars

Ownership

Nearby options

Other facilities in reach

#1

Clearview

Juneau, WI

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#2

Hillside Manor

Beaver Dam, WI

3-star overall rating with 2-star inspections with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$0
#3

Beaver Dam Health Care Center

Beaver Dam, WI

1-star overall rating with 1-star inspections with abuse icon flag with $144,764 in total fines with 21 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$144,764

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