AT HOME HEALTHCARE - BELOIT, WI

United States hospital / nursing home:
AT HOME HEALTHCARE - BELOIT, WI

AT HOME HEALTHCARE
1969 W HART ROAD
BELOIT, WI 53511

SHORT TERM HOME HEALTH AGENCIES

Services provided by AT HOME HEALTHCARE:

Current fms survey date (Current fms survey date): Jun 1997

Dieticians (Number of full-time equivalent dieticians employed by a facility): 0.10

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 0.10

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 4

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

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

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 7.20

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF

Type of facility (Indicates the category which represents the type of facility): REHABILITATION

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 0.10

Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): NEITHER

Branch operation indicator (Indicates if the agency operates any branches): Yes

Branches (The number of branches operated by the agency): 1

Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): No

Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): Yes

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 2.50

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

Medicare/Medicaid provider number (If the agency is based in another Medicare or Medicaid facility, the provider number of that facility): 520100

Social workers (The number of full time equivalent social workers employed by the agency): 0.10

Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): PROVIDED BY AGENCY STAFF

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Srv: nutritional guidance (Indicates how nutritional guidance services are provided): PROVIDED BY STAFF

Srv: speech therapy (Indicates how speech therapy services are provided): PROVIDED BY STAFF

Subunit indicator (Indicates if the agency is a subunit of another agency): No

Subunit operation indicator (Indicates if the agency operates any subunits): No

Physical therapists on staff (The number of full-time equivalent physical therapists employed by an outpatient physical therapy provider or a home health agency provider): 0.70

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 2001

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): Oct 1973