CONTACT INFORMATION REVIEWS & MORE DATA

Virginia Highlands Care and Rehab LLC

  • Date Updated:  November 01, 2024
  • CMS Overall 5-Star Rating:  
  • Address:  W173 N10915 BERNIES WAY
    GERMANTOWN WI 53022 Map
  • Phone:  262-509-3300
  • Website:   Click Here
  • Medicare Provider Number:  525653
  • Participating in Medicare Since:  October 14, 1999
  • No. of Certified Beds:  121
  • No. of Residents:   N/A
  • Occupancy:   N/A
  • Amount Fined:  $286,698.56
  • Complaints Filed:   37
  • Accepts:  Medicare and Medicaid

  About Virginia Highlands Care and Rehab LLC

Virginia Highlands Care And Rehab Llc, located in GERMANTOWN, WI, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Virginia Highlands Care And Rehab Llc offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.

  • Virginia Highlands Care and Rehab LLC is ranked #8 out of 12 facilities within a 10 mile radius and #36 out of 57 facilities within a 25 mile radius. See Ranking Report
  • Review Specific City Measures
  • CMS 5-Star Overall Rating is (1 out of 5):
  • Current Trend:   Improving
  • Total Nursing Hours Spent Per Resident Per Day: 3.96
    (The national average is 3.84 )
  • The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 37.39% .
  •    There is no indication of abuse occuring at Virginia Highlands Care and Rehab LLC. (CMS flags facilities where abuse has either happened or is very likely.)

  Virginia Highlands Care and Rehab LLC Owner & Operator Information

Business Entity Name:

VIRGINIA HIGHLANDS CARE AND REHAB CENTER LLC

Owners:

Managers and Directors:

  Virginia Highlands Care and Rehab LLC Ratings and Inspection Scores

Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.

Ratings

Overall Rating 1:
Health Inspection Rating 1:
Quality Rating 4:
Staffing Rating 3:

Inspection Scores

Cycle 1 Score (as of January 24, 2024) 40
Cycle 2 Score (as of November 10, 2022) 100
Cycle 3 Score (as of September 08, 2021) 504
Weighted All Cycles Score 137

  Complaints by Residents

This table shows complaints filed by residents in Virginia Highlands Care and Rehab LLC:

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 08/16/2024
Respond appropriately to all alleged violations. 08/16/2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 06/08/2024
Respond appropriately to all alleged violations. 06/08/2024
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. 02/23/2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 12/01/2023
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. 11/23/2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 11/23/2023
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. 11/23/2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft. 11/23/2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 11/23/2023
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. 02/10/2023
Provide safe, appropriate dialysis care/services for a resident who requires such services. 02/10/2023
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. 02/10/2023
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. 08/19/2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 08/19/2022
Respond appropriately to all alleged violations. 08/19/2022
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 08/19/2022
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. 08/19/2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 08/19/2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 08/19/2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 08/19/2022
Report COVID19 data to residents and families. 08/19/2022
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 08/19/2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 08/19/2022
Allow resident to participate in the development and implementation of his or her person-centered plan of care. 07/20/2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 07/20/2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 07/20/2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 07/20/2022
Provide enough food/fluids to maintain a resident's health. 07/20/2022
Assist a resident in gaining access to vision and hearing services. 02/09/2022
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. 02/09/2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 02/09/2022
Provide enough food/fluids to maintain a resident's health. 02/09/2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 02/09/2022
Provide and implement an infection prevention and control program. 02/09/2022
Develop and implement policies and procedures for flu and pneumonia vaccinations. 02/09/2022

  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.

The nursing staff of Virginia Highlands Care and Rehab LLC spends MORE time on average with its residents than the state average for total nursing hours spent per resident and MORE time than the national average for total nursing hours spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.81 0.94 / 0.67
Case Mix 0.75 0.67 / 0.66
Adjusted 0.71 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.81 0.62 / 0.88
Case Mix 0.98 NA / NA
Adjusted 0.71 NA / NA
Certified Nursing Assistants (CNA)
Hours 2.35 2.46 / 2.29
Case Mix 2.57 NA / NA
Adjusted 2.08 NA / NA
Total Licensed Staff
Hours 1.61 1.56 / 1.54
Physical Therapist (PT)
Hours 0.06 0.06 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours 3.96 4.02 / 3.84
Case Mix 4.30 3.85 / 3.82
Adjusted 3.51 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)
This measure is considered when computing the 5-Star Overall Rating
37.4% / 21.6%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
20.3% / 15.0%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 3.5% / 13.6%
Better
Percentage of long-stay residents who lose too much weight (qm404) 11.2% / 5.3%
Worse
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 48.6% / 50.7%
Better
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 0.0% / 2.6%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 1.9% / 3.2%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 10.8% / 5.2%
Worse
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) 1.0% / 3.5%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 100.0% / 95.4%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 10.2% / 15.2%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 98.4% / 87.7%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 0.0% / 1.1%
Better
Percentage of long-stay residents whose ability to move independently worsened (qm451) 8.7% / 17.5%
Better
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 12.2% / 15.9%
Better
Percentage of high risk long-stay residents with pressure ulcers (qm453) 11.9% / 7.9%
Worse
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 98.2% / 93.6%
Better
Percentage of short-stay residents who made improvements in function (qm471) 99.0% / 77.8%
Better
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 87.6% / 79.9%
Better

  Hospitals Near Virginia Highlands Care and Rehab LLC

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 Virginia Highlands Care and Rehab LLC.

Virginia Highlands Care and Rehab LLC is near several hospitals, each with its own rating based on overall performance:

Hospital 5-Star Overall Rating
ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE
2323 N LAKE DR
MILWAUKEE, WI 53211
3
COMMUNITY MEMORIAL HOSPITAL
W180 N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
3
AURORA ST LUKES MEDICAL CENTER
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
3
MILWAUKEE VA MEDICAL CENTER
5000 W. NATIONAL AVENUE
MILWAUKEE, WI 53295
3
ASCENSION SE WISCONSIN HOSPITAL
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
4
WAUKESHA MEMORIAL HOSPITAL
725 AMERICAN AVE
WAUKESHA, WI 53188
4
WEST ALLIS MEMORIAL HOSPITAL
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
4
ST JOSEPHS COMMUNITY HOSPITAL WEST BEND
3200 PLEASANT VALLEY ROAD
WEST BEND, WI 53095
4
AURORA MEDICAL CENTER - SUMMIT
36500 AURORA DRIVE
SUMMIT, WI 53066
4
ASCENSION ST FRANCIS HOSPITAL
3237 S 16TH ST
MILWAUKEE, WI 53215
4
AURORA MEDICAL CTR WASHINGTON COUNTY
1032 E SUMNER ST
HARTFORD, WI 53027
5
OCONOMOWOC MEMORIAL HOSPITAL
791 E SUMMIT AVE
OCONOMOWOC, WI 53066
5
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
5
AURORA MEDICAL CENTER
975 PORT WASHINGTON ROAD
GRAFTON, WI 53024
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
AURORA PSYCHIATRIC HOSPITAL
1220 DEWEY AVE
WAUWATOSA, WI 53213
Not Available
ROGERS MEMORIAL HOSPITAL
34700 VALLEY RD
OCONOMOWOC, WI 53066
Not Available
ORTHOPAEDIC HOSPITAL OF WISCONSIN
475 W RIVER WOODS PKWY
GLENDALE, WI 53212
Not Available

Ratings History for Virginia Highlands Care and Rehab LLC

  Medical Professionals Associated with Virginia Highlands Care and Rehab LLC

These are the doctors who are affiliated with Virginia Highlands Care and Rehab LLC. The data is from the most recent period. Historical data is not available.

  Local Nursing Homes

When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.

The data is based on the dataset as of November 01, 2024.

Name Health Inspection Score / Overall Rating
Masonic Center For Health and Rehab Inc
(DOUSMAN, WI)
0 / 5:
Cedar Lake Health and Rehab Center
(WEST BEND, WI)
10 / 5:
St Francis Health Services
(SAINT FRANCIS, WI)
11.333 / 4:
Clement Manor Health Care Center
(GREENFIELD, WI)
14.667 / 4:
Lasata Care Center
(CEDARBURG, WI)
18.667 / 3:
Hales Corners Care Ctr
(HALES CORNERS, WI)
27.333 / 3:
Milwaukee Catholic Home
(MILWAUKEE, WI)
29.333 / 4:
Eastcastle Pl Bradford Ter Conv Ctr
(MILWAUKEE, WI)
29.333 / 4:
Shorehaven Hlth and Rehab Ctr
(OCONOMOWOC, WI)
30 / 5:
Lutheran Home
(WAUWATOSA, WI)
34 / 4:
Samaritan Nursing and Rehab
(WEST BEND, WI)
40.667 / 2:
Crossroads Care Center of Mayville
(MAYVILLE, WI)
44 / 3:
Congregational Home, Inc
(BROOKFIELD, WI)
46 / 4:
Saint Johns On The Lake
(MILWAUKEE, WI)
48.5 / 3:
Cedarburg Health Services
(CEDARBURG, WI)
57.333 / 2:
Newcastle Place
(MEQUON, WI)
58.667 / 3:
Jewish Home and Care Center
(MILWAUKEE, WI)
60 / 3:
Lake Country Health Services
(OCONOMOWOC, WI)
62 / 2:
Care Age of Brookfield
(BROOKFIELD, WI)
62.667 / 2:
Franciscan Woods
(BROOKFIELD, WI)
64 / 1:
Tudor Oaks Health Center
(MUSKEGO, WI)
68 / 2:
St Camillus Health Center
(WAUWATOSA, WI)
72.167 / 3:
Glendale Care and Rehab Center LLC
(GLENDALE, WI)
75 / 2:
Lindengrove Menomonee Falls
(MENOMONEE FALLS, WI)
78.167 / 2:
Aria of Waukesha
(WAUKESHA, WI)
86.5 / 1:
Pavilion at Glacier Valley
(SLINGER, WI)
86.667 / 1:
Heritage Health Services
(PORT WASHINGTON, WI)
88 / 1:
Muskego Health and Rehabilitation Center
(MUSKEGO, WI)
98.667 / 2:
Aria at Mitchell Manor
(WEST ALLIS, WI)
104.167 / 2:
Lindengrove Waukesha
(WAUKESHA, WI)
112.167 / 1:
Luther Manor
(MILWAUKEE, WI)
113.5 / 2:
Menomonee Falls Health Services
(MENOMONEE FALLS, WI)
126 / 1:
Maple Ridge Health Services
(MILWAUKEE, WI)
126.333 / 1:
Lindengrove New Berlin
(NEW BERLIN, WI)
128 / 1:
Sunrise Health Services
(MILWAUKEE, WI)
128.333 / 1:
Virginia Highlands Care and Rehab LLC
(GERMANTOWN, WI)
137.333 / 1:
Ccc of Pewaukee
(WAUKESHA, WI)
140.833 / 1:
Kensington Care and Rehab Center
(WAUKESHA, WI)
142.833 / 1:
Willowcrest Health Services
(SOUTH MILWAUKEE, WI)
149 / 1:
Edenbrook Lakeside
(MILWAUKEE, WI)
149.667 / 1:
Mercy Health Services
(MILWAUKEE, WI)
162.167 / 1:
Alexian Village of Milwaukee
(MILWAUKEE, WI)
163.5 / 2:
Autumn Lake Healthcare at Greenfield
(MILWAUKEE, WI)
190 / 1:
Crossroads Care Center of Milwaukee
(MILWAUKEE, WI)
199.5 / 1:
Maplewood Center
(WEST ALLIS, WI)
220.5 / 1:
St Anne's Salvatorian Campus
(MILWAUKEE, WI)
238.5 / 1:
Allis Care Center
(WEST ALLIS, WI)
267.167 / :
Wheaton Franciscan Hc - Terrace at St Francis
(MILWAUKEE, WI)
273.5 / 1:
Chi Franciscan Villa
(SOUTH MILWAUKEE, WI)
281.5 / 1:
Heritage Square Health Care Center
(GREENDALE, WI)
330.667 / 1:
Southpointe Care and Rehab Center LLC
(GREENFIELD, WI)
347.333 / 2:
Aria of Brookfield
(BROOKFIELD, WI)
412.5 / 1:
Silver Springs Health Care Center
(GLENDALE, WI)
503.667 / 1:
Waterfall Health of Brown Deer
(MILWAUKEE, WI)
539 / 1:
Bradley Estates Nursing and Rehab LLC
(MILWAUKEE, WI)
683.167 / 1:
The Medical Suites at Oak Creek
(OAK CREEK, WI)
763.333 / 1:
St Ann Health and Rehabilitation Center
(MILWAUKEE, WI)
/ :

  Our Analysis

Best and Worst Nursing Homes in GERMANTOWN, WI

Here is our analysis of the Best Nursing Homes in GERMANTOWN and Worst Nursing Homes in GERMANTOWN so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.

Ownership Details for Virginia Highlands Care and Rehab LLC

A list of all of the registered owners for Virginia Highlands Care and Rehab LLC. This includes direct and indirect owners and managers.

Noted Deficiencies for Virginia Highlands Care and Rehab LLC

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.

Nursing Hours Analysis for Virginia Highlands Care and Rehab LLC

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.

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