HOLY FAMILY MEMORIAL TRANS UNIT 3191 - MANITOWOC, WI
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HOLY FAMILY MEMORIAL TRANS UNIT 3191
2300 WESTERN AVE MANITOWOC, WI 54220 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by HOLY FAMILY MEMORIAL TRANS UNIT 3191:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 16 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 16 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID 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 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.57 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 16 Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 2.40 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.14 Food service - Contract (The number of full-time equivalent food service personnel under contract to a facility): 0.29 Housekeeping - Contract (The number of full-time equivalent housekeeping personnel under contract to a facility): 0.57 Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 2.40 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.03 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): ST MARYS HOME FOR THE AGED INC Nurses with admin duties-Contract (The number of full-time equivalent nurses with administrative duties under contract to a facility): 0.91 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.57 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.14 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.57 Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 4.80 Rn director of nursing - Contract (The number of full time equivalent rn director of nursi ng under contract to a facility): 1.14 Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.57 Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.57 Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.57 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): Mar 1999 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): Feb 1997 |
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