BORNEMANN NURSING HOME - GREEN BAY, WI

United States hospital / nursing home:
BORNEMANN NURSING HOME - GREEN BAY, WI

BORNEMANN NURSING HOME
226 BORNEMANN STREET
GREEN BAY, WI 54302


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by BORNEMANN NURSING HOME:

  • Activities services are provided onsite to nonresidents
  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided offsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided offsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided offsite to residents
  • Dietary services are provided onsite to non 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 offsite to residents
  • Occupational therapy services are provided onsite to non residents
  • Occupational therapy services are provided onsite to residents
  • Field 2 - Indicates other activity services provided by staff onsite to nonresidents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided offsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided offsite to residents
  • Physical therapy services are provided onsite to non residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided offsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided offsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided offsite to residents
  • Speech/language pathology services are provided onsite to non residents
  • Speech/language pathology services are provided onsite 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): 128

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 128

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 109

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.71

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 6.86

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): 0.94

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 4.57

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 2.07

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 19

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 37.71

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 16.97

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.17

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 17.14

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.09

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.71

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.69

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 4.63

Nurses with admin duties-Full time (The number of full-time equivalent nurses with administrative duties employed by a facility on a full time basis): 1.14

Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.97

Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.66

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.63

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 6.86

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): 11.87

Other activities staff-Full time (Number of full-time staff hours for other activities): 1.16

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.91

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 3.89

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 - Full time (The number of full-time equivalent social workers 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): 0.94

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.29

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): Aug 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): Aug 1995