CUMBERLAND MEMORIAL HOSPITAL-E - CUMBERLAND, WI
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CUMBERLAND MEMORIAL HOSPITAL-E
1110 7TH AVE CUMBERLAND, WI 54829 LONG TERM NURSING FACILITIES Services provided by CUMBERLAND MEMORIAL HOSPITAL-E:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 50 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 50 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 50 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.46 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID ONLY Regional override #1 (number beds) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 520068 Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.11 Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 1.43 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 13.13 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 11.84 Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.57 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 4.29 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.14 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.44 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.89 Organized resident group (Indicates if the facility has an organized residents group): Yes Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 0.80 Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 0.29 Provider based facility (Indicates if a long term care facility is provider based): Yes Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 3.60 Rn director of nursing - Full time (The number of full-time equivalent rn director of nursing employed by a facility on a full time basis): 1.14 Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 1.24 Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Sep 2002 Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Mar 1974 |
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