PINE MANOR HEALTH CARE CENTER - CLINTONVILLE, WI
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Back to Hospital Data. Institution representatives - add corrected or new information about PINE MANOR HEALTH CARE CENTER » PINE MANOR HEALTH CARE CENTERROUTE 4 PO BOX 549 CLINTONVILLE, WI 54929 LONG TERM NURSING FACILITIES Services provided by PINE MANOR HEALTH CARE CENTER:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 95 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 95 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 95 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.51 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.46 Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 3 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 Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 2.14 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14 Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 1.07 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 24.74 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 2.14 Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.29 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 2.14 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.71 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.87 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.17 Provider based facility (Indicates if a long term care facility is provider based): Yes 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): Jul 1992 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 1974 |
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