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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:
  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided onsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Pharmacy services are provided onsite to non residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to residents
  • Therapeutic recreation specialist services are provided onsite to residents
  • Diagnostic xray services are provided onsite to residents

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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