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Dove Healthcare - Lodi

LODI

WI

53555

Provider Number: 525520 (Link to Medicare Profile)

Affiliated Entity: Dove Healthcare

CareWatch Overall Rating: Above Average (4 / 5)
CMS Overall Rating: Poor (1 / 5)

CMS Health Inspection (15%)

Poor (1 / 5)

This facility’s health inspection rating was in the bottom 20% for all skilled nursing facilities nationally.

The CMS health inspection rating contributes to 15% of the CareWatch SNF rating system. The health inspection rating uses state health inspections to identify deficiencies at the SNF. Each deficiency is given a weight based on the scope and severity of the problem. Additional information and specific measures can be located on the official CMS website located here

CMS Staffing (15%)

Poor (1 / 5)

This facility’s staffing level was in the bottom 20% for all skilled nursing facilities nationally.

The CMS staffing rating contributes to 15% of the CareWatch SNF rating system. The staffing rating aims to reward facilities that achieve continuity with staff, and have a higher number of nursing hours per resident day. Additional information and specific measures can be located on the official CMS website located here

Externally Validated Health Outcomes (35%)

Excellent (5 / 5)

This facility’s externally validated health outcome metrics were in the top 10% for all skilled nursing facilities nationally.

The Externally Validated Health Outcomes rating contributes to 35% of the CareWatch SNF rating system. The rating is comprised of 6 subcomponents:

  • Abusive Reviews - The percent of online reviews that allege abuse of a patient

  • Review Sentiment - The average sentiment score of online reviews ranging from -1 (very negative) to 1 (very positive)

  • Misreported UTIs - The percent of all patients that were not reported as having a UTI at the SNF, but were reported with a UTI within 2 days of discharge at an inpatient facility

  • Misreported Pressure Ulcers - The percent of all patients that were not reported as having a pressure ulcer at the SNF, but were reported with a UTI within 2 days of discharge at an inpatient facility

  • Post-discharge Mortality - The percent of all patients who die within 90 days of discharge from the SNF

  • Rehospitalization - The percent of all patients that are readmitted to a hospital within 30 days of discharge from the SNF

CareWatch builds off of the measure's presented in the CMS quality measure rating system (additional details available) by adding information from external sources like patient reviews and proceeding inpatient stays that are not incentivized to report lower rate's of adverse health outcomes as discussed in Griffin, John M. and Priest, Alex, Overbilling and Killing? An Examination of the Skilled Nursing Industry (October 15, 2024).

Abusive Reviews

 

Percent of online reviews that allege abuse of a patient. Refer to methodology page for detailed explanation.

0%

State Average: 15.75%

National Average: 16.33%

Review Sentiment 

 

Average sentiment score of online reviews. Reviews range from -1 (very negative) to 1 (very positive). Refer to methodology page for detailed explanation.

0.339

State Average: 0.225

National Average: 0.219

UTI Misreported Rate

 

Percent of Medicare patients at the facility who, within 2 days of discharge from the facility, were re-hospitalized and had a urinary tract infection-related diagnosis. Refer to methodology page for detailed explanation.

1.57%

State Average: 2.75%

National Average: 3.04%

Pressure Ulcer Misreported Rate

 

Percent of Medicare patients at the facility who, within 2 days of discharge from the facility, were re-hospitalized and had a pressure ulcer-related diagnosis. Refer to methodology page for detailed explanation.

0.5%

State Average: 1.14%

National Average: 1.2%

Post-Discharge Mortality Rate 

 

Percent of Medicare patients at the facility who died within 90 days of discharge from the facility. Refer to methodology page for detailed explanation.

10.6%

State Average: 14.56%

National Average: 15.11%

Rehospitalization Rate 

 

Percent of Medicare patients at the facility who, within 2 days of discharge to the facility, were re-hospitalized and had a urinary tract infection-related diagnosis. Refer to methodology page for detailed explanation.

21.53%

State Average: 28.3%

National Average: 29.72%

Ethical Reimbursement Rating (35%)

Excellent (5 / 5)

This facility’s ethical reimbursement metrics were in the top 10% for all skilled nursing facilities nationally.

The Ethical Reimbursement Rating contributes to 35% of the CareWatch SNF rating system. The rating is comprised of 8 metrics that increase facility reimbursement, but have been shown to be correlated with worse health outcomes when coded for at extremely high rates (Griffin, John M. and Priest, Alex, Overbilling and Killing? An Examination of the Skilled Nursing Industry (October 15, 2024). This metric grades SNFs based on their rates of coding for high reimbursement conditions 

Length of Stay 

 

Average numbers of days Medicare patients spent at the facility during their stay. Skilled nursing care is intended for short term are following an inpatient visit. While some patients need to stay for extended amounts of time, extended stays can negatively effect patients, but positively benefit facilities income. Refer to methodology page for detailed explanation.

23.69

State Average: 27.27

National Average: 27.37

Depression

Percent of Medicare patients who were coded for depression under section D of the Minimum Data Set 3.0 (MDS), also known as the PHQ-9. Patients coded for depression in this section (not requiring a diagnosis) produce higher reimbursement for the SNF. Refer to methodology page​ for detailed explanation.

2.54%

State Average: 9.6%

National Average: 10.85%

Special Care High 

Percent of Medicare patients who were coded for special care high due to information included on the Minimum Data Set 3.0 (MDS). Patients coded for special care high produce higher reimbursement for the SNF. Some of the more common conditions that quality a patient for special care high are:

  • Septicemia

  • Chronic Obstructive Pulmonary Disease (COPD)

  • Pneumonia

Refer to methodology page for detailed explanation.

29.29%

State Average: 30.03%

National Average: 32.86%

Low Function Score

Percent of Medicare patients who were coded for the lowest function score grouping under section GG of the Minimum Data Set 3.0 (MDS) Patients coded for low function score produce higher reimbursement for the SNF. Refer to methodology page for detailed explanation.

16.06%

State Average: 23.64%

National Average: 24.87%

Acute Neurologic Conditions

Percent of Medicare patients who were diagnosed with a primary diagnosis within the acute neurologic condition clinical category (details can be seen on the official CMS website). Patients coded for acute neurologic conditions produce higher reimbursement for the SNF. Refer to methodology page for detailed explanation.

11.88%

State Average: 17.81%

National Average: 18.55%

Cognitive Impairment

Percent of Medicare patients who were coded for cognitive impairment under section C of the Minimum Data Set 3.0 (MDS), also known as the BIMS Summary Score. Patients coded for cognitive impairment in this section (not requiring a diagnosis) produce higher reimbursement for the SNF. Refer to methodology page​ for detailed explanation.

27.47%

State Average: 50.29%

National Average: 55.07%

SLP Comorbidities

Percent of Medicare patients who were diagnosed with at least one diagnosis that is considered a comorbidity related to speech language pathology (details can be seen on the official CMS website). Patients coded for SLP comorbidities produce higher reimbursement for the SNF. Refer to methodology page for detailed explanation.

16.06%

State Average: 23.64%

National Average: 24.87%

Swallowing Disorders and Mechanically Altered Diets

 

Percent of Medicare patients who were coded as having a swallowing disorder and a mechanically altered diet. Most patients coded for swallowing disorders, also receive a diagnosis of Dysphagia. Patients coded for both dietary related conditions/treatments in this section produce higher reimbursement for the SNF and do not require specific diagnoses. Refer to methodology page​ for detailed explanation.

4.65%

State Average: 10.76%

National Average: 13.12%

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