GRANCARE NURSING AND REHAB CTR - FOND DU LAC, WI
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GRANCARE NURSING AND REHAB CTR
517 E DIVISION ST FOND DU LAC, WI 54935 SHORT TERM SKILLED NURSING FACILITIES Services provided by GRANCARE NURSING AND REHAB CTR:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 75 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 24 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.19 Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE 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 Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.73 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.29 Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 24 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 8.90 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 4.37 Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.23 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.61 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.94 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.90 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.80 Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 0.11 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 4.33 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.11 Nurses with admin duties-Full time (The number of full-time equivalent nurses with administrative duties employed by a facility on a full time basis): 0.84 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.20 Organized resident group (Indicates if the facility has an organized residents group): Yes Other - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 1.10 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): 0.56 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.63 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.06 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.13 Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 0.07 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.83 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 Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.97 Special care beds-Spec rehab (The number of beds in a unit identified and dedicated by the facility for residents with specialized rehab needs): 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): Jan 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): Aug 1993 |
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