• CMS rates this facility 2/5 stars (below average)
• Has 106 certified beds with an average of 69.3 residents per day (65% occupancy)
• Last health inspection found 14 deficiencies (inspected Nov 12, 2024)
• No fines on record
• Total nursing staff: 3.45 hours per resident per day
• Staff turnover rate: 43.1%
• Part of the Fundamental Healthcare chain (70 facilities)
Pavilion at Glacier Valley is a 2-star Medicare and Medicaid certified nursing home in Slinger, Wisconsin with 106 certified beds. It has been operating since 1989. The facility scored below average compared to Wisconsin facilities.
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Provide and implement an infection prevention and control program.
Reasonably accommodate the needs and preferences of each resident.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Provide and implement an infection prevention and control program.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Give the resident's representative the ability to exercise the resident's rights.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Ensure each resident receives an accurate assessment.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Respond appropriately to all alleged violations.
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.
+ 26 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| THI OF WISCONSIN, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Aug 30, 2003 |
| HUNT VALLEY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Mar 28, 2006 |
| THI OF BALTIMORE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Aug 30, 2003 |
| FORMAN, MURRAY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Mar 28, 2006 |
| GORDON, DAWN | CORPORATE OFFICER | Individual | N/A | Jun 26, 2017 |
| GORDON, DAWN | W-2 MANAGING EMPLOYEE | Individual | N/A | Jun 26, 2017 |
This chain operates 70 facilities. View all →