KENNEDY PARK MEDICAL AND REHAB - SCHOFIELD, WI
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KENNEDY PARK MEDICAL AND REHAB
6001 ALDERSON ST SCHOFIELD, WI 54476 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by KENNEDY PARK MEDICAL AND REHAB:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 159 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 159 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 6.86 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 11.43 Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 4 Prior change of ownership (The date of a prior change of ownership): May 1998 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 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 Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 2.29 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 6.34 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.83 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 159 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 40 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 11.04 Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.03 Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14 Experimental research conducted (Indicates if a facility uses residents to develop and test clinical treatments): Yes Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 5.71 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 5.07 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.57 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 3.04 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.13 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.04 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): KINDRED HEALTHCARE INC Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes 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): 2.20 Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 2.24 Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.06 Organized family group (Indicates if the facility has an organized group of family members of residents): Yes 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): 4.57 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): 2.77 Other activities staff-Full time (Number of full-time staff hours for other activities): 1.14 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 2.83 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.23 Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 1.70 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.34 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 - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14 Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 58 Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.29 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): Feb 1989 |
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