MEMORIAL NURSING HOME LTC UNIT - MEDFORD, WI
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MEMORIAL NURSING HOME LTC UNIT
135 S GIBSON ST MEDFORD, WI 54451 LONG TERM NURSING FACILITIES Services provided by MEMORIAL NURSING HOME LTC UNIT:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 104 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 104 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 104 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.09 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 16 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): MEDICAID ONLY 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): 520006 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.16 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 34.34 Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.76 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 12.94 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 8.26 Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.11 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 activities staff-Full time (Number of full-time staff hours for other activities): 2.86 Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 0.57 Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 1.07 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 0.14 Provider based facility (Indicates if a long term care facility is provider based): Yes Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.57 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): Oct 1997 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 1974 |
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