ADAMS CO MEMORIAL HOSP - NRSG - FRIENDSHIP, WI
United States hospital / nursing home:
ADAMS CO MEMORIAL HOSP - NRSG - FRIENDSHIP, WI
ADAMS CO MEMORIAL HOSP - NRSG
402 LAKE STREET
FRIENDSHIP, WI 53934
LONG TERM NURSING FACILITIES
Services provided by ADAMS CO MEMORIAL HOSP - NRSG:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite to residents
- Clinical laboratory services are provided offsite to residents
- Dental services are provided offsite to residents
- Dietary services are provided onsite to residents
- Housekeeping services are provided onsite to residents
- Mental health services are provided offsite to residents
- Nursing services are provided onsite to residents
- Occupational therapy services are provided onsite to residents
- Pharmacy services are provided onsite to residents
- Physician extender services are provided onsite to residents
- Physical therapy services are provided onsite to residents
- Physician services are provided onsite to residents
- Podiatry services are provided offsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology services are provided onsite to residents
- Vocational services are provided offsite to residents
- Diagnostic xray services are provided offsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 18
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 18
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 18
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.14
Current fms survey date (Current fms survey date): Nov 2002
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID ONLY
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): 521309
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): 0.57
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.43
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 5.56
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.23
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 5.17
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.93
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.63
Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.23
Organized resident group (Indicates if the facility has an organized residents group): Yes
Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 0.46
Other physician - Part time (The number of full-time equivalent other physicians employed by a facility on a part time basis): 0.14
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.01
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): 1.86
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 - Part time (The number of full-time equivalent social workers employed by a facility on a part 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 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 1974