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