MEMORIAL NURSING HOME - BOSCOBEL, WI
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Back to Hospital Data. Institution representatives - add corrected or new information about MEMORIAL NURSING HOME » MEMORIAL NURSING HOME205 PARKER ST BOSCOBEL, WI 53805 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by MEMORIAL NURSING HOME:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 76 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 76 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.50 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.37 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): 1.01 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.29 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): 76 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 5.77 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 5.39 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 8.27 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.83 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.44 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.03 Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 16.76 Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 15.61 Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 0.11 Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.09 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): 3.36 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.76 Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.40 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.13 Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 0.17 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 0.09 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.69 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): 12 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): Apr 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): Nov 1984 |
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