MEMORIAL NURSING AND REHAB CTR - MEDFORD, WI
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MEMORIAL NURSING AND REHAB CTR
135 S GIBSON ST MEDFORD, WI 54451 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by MEMORIAL NURSING AND REHAB CTR:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 102 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 102 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.57 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 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): 520030 Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 5.31 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 102 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 10.29 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 25.73 Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part 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): 12.57 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.40 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.71 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.29 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 5.69 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): WAUSAU HOSPITAL 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): 1.14 Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.46 Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.57 Organized resident group (Indicates if the facility has an organized residents group): Yes 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): 0.57 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.23 Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 1.14 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14 Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 1.14 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): 8.20 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 Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.29 Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT 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 1998 |
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