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Pine Haven Christian Home
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Pine Haven Christian Home

Overview
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Sheboygan Falls, Wisconsin
Medicare and Medicaid

Pine Haven Christian Home is a nursing home located in Sheboygan Falls, Wisconsin with 50 beds and an average of 41 residents per day.

Address
220 Haven Drive
Sheboygan Falls, Wisconsin 53085
Contact
Scoreboard
Overall:
Health inspection:
Quality measures:
Long-term stay quality measures:
Short-term stay quality measures:
Staffing:
Nurse staffing:
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Facts & features
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Continuing care retirement community: No
Automatic sprinkler systems: Yes
Council: Family and resident council
Provider type: Medicare and Medicaid
Date first approved to provide Medicare and Medicaid services: March 5, 2004
Number of beds: 50
Number of residents per day: 41
Percent of beds that are filled: 82% of beds are filled
Health inspection
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Health inspection rating

Health inspection ratings are based on the number, scope, and severity of deficiencies identified during the three most recent annual inspection surveys, as well as substantiated findings from the most recent 36 months of complaint investigations. All deficiency findings are weighted by scope and severity. This measure also takes into account the number of revisits required to ensure that deficiencies identified during the health inspection survey have been corrected.

Number of health deficiencies by year

A health citation is a finding that a nursing home failed to meet one or more federal health requirements during an annual health inspection or a complaint inspection. Inspectors identify health citations by observing the nursing home's performance, its practices, or the conditions in the facility.

2019 2
2018 9
2017 4
Learn more about health inspection ratings
Staff
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Staff rating
Nurse staff rating

Staff ratings are based on nursing home staffing levels. They are based on two measures: (1) Registered nurse hours per resident per day and (2) Total nurse staffing (registered nurses, licensed practical nurses, and nurse aides) hours per resident per day.

Higher staffing hours per resident per day means that each resident receives more hours of care.

At Pine Haven Christian Home, residents receive around 4.5 hours of care each day.

Nurse staffing hours per resident per day
Nurse aid staffing hours per resident per day 2.4 hours
Licensed practical nurse hours per resident per day 0.8 hours
Registered nurse staffing hours per resident per day 1.3 hours
Total nurse staffing hours per resident per day 4.5 hours
Quality of care
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Overall quality of care rating
Long-term stay quality of care rating
Short-term stay quality of care rating

The quality of care rating is based on a variety of measures including:

Percent of residents whose need for help with activities of daily living has increased
Percent of residents whose ability to move independently worsened
Percent of high-risk residents with pressure ulcers
Percent of residents who have/had a catheter inserted and left in their bladder
Percent of residents with a urinary tract infection
Percent of residents experiencing one or more falls with major injury
Percent of residents who received an antipsychotic medication
Number of hospitalizations
Number of outpatient emergency department visits
Management
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Pine Haven Christian Home is operated by Pine Haven Christian Home Inc. It was first approved to provide Medicare and Medicaid services on March 5, 2004.
Ownership
Name Role Ownership percentage Association date

Dave Brasser

Individual
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Director Not Applicable Since 09/30/2011

Jeff Broetzmann

Individual
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Director Not Applicable Since 09/30/2015

Jane Buteyn

Individual
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Director Not Applicable Since 09/30/2011

Roger Buyze

Individual
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Director Not Applicable Since 09/30/2015

Robert Desmidt

Individual
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Director Not Applicable Since 09/30/2012

Mike Foley

Individual
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Director Not Applicable Since 09/30/2011

Martin Halverson

Individual
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Officer Not Applicable Since 05/19/2014

Steve Hendrikse

Individual
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Officer Not Applicable Since 10/01/2016

Jack Hoffman

Individual
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Director Not Applicable Since 09/30/2016

Norene Huibregtse

Individual
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Director Not Applicable Since 09/30/2016

Gene Jentink

Individual
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Director Not Applicable Since 09/30/2016

Ken Koehler

Individual
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Director Not Applicable Since 09/30/2015

Audley Lemmenes

Individual
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Director Not Applicable Since 09/30/2014

Larry Lorenz

Individual
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Director Not Applicable Since 09/30/2012

Betty Moody

Individual
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Director Not Applicable Since 09/30/2014

Robert Nyhuis

Individual
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Director Not Applicable Since 09/30/2016

Christine Tempas

Individual
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Director Not Applicable Since 09/30/2012

Genny Ten Pas

Individual
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Director Not Applicable Since 09/30/2013

Ronald Walvoort

Individual
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Officer Not Applicable Since 04/05/2015

Ronald Walvoort

Individual
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Managing Employee Not Applicable Since 04/05/2014

Wisconsin Bank and Trust

Organization
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5% Or Greater Mortgage Interest Not Applicable Since 05/01/2014
Incidents and fines
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Number of facility reported incidents 0
Number of substantiated complaints 1
Number of fines 0
Total fines $0
Number of payment denials 0
Number of penalties 0
Map
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Nearby
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Test
Federal Provider Number 525676
Ownership Type
Special Focus Status
Abuse Icon
Most Recent Health Inspection More Than 2 Years Ago
Provider Changed Ownership in Last 12 Months
Overall Rating 5
Health Inspection Rating 3
QM Rating 5
Long-Stay QM Rating 5
Short-Stay QM Rating 5
Staffing Rating 5
RN Staffing Rating 5