PRAIRIE DU CHIEN HEALTH CARE CENTER - PRAIRIE DU CHIEN, WI
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PRAIRIE DU CHIEN HEALTH CARE CENTER
1505 E BRUNSON ST PRAIRIE DU CHIEN, WI 53821 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by PRAIRIE DU CHIEN HEALTH CARE CENTER:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 173 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 173 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 146 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.31 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.56 Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1 Change of ownership date (Effective date of a change of ownership): Aug 1989 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): 2.04 Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.93 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 27 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 24.81 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 21.83 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 13.54 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.64 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.33 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.94 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 5.16 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.03 Mental health services - Full time (The number of full-time equivalent mental health services personnel employed by a facility on a full time basis): 2.29 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): INTERNATIONAL ELDERLY CARE INC Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.09 Organized resident group (Indicates if the facility has an organized residents group): Yes Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.26 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.09 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 4.27 Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.11 Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 24 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): Nov 1990 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): Jan 1985 |
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