BREWSTER VILLAGE - APPLETON, WI

United States hospital / nursing home:
BREWSTER VILLAGE - APPLETON, WI

BREWSTER VILLAGE
3300 W BREWSTER ST
APPLETON, WI 54914


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by BREWSTER VILLAGE:

  • Administration and storage of blood services are provided offsite 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 onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided offsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to residents
  • 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 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
  • Podiatry services are provided onsite 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
  • Vocational services are provided onsite to residents
  • Diagnostic xray services are provided offsite to residents
  • Diagnostic xray services are provided onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 204

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 204

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.46

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 21.16

Current fms survey date (Current fms survey date): Jun 1998

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

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.91

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.16

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 204

Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 10.04

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 53.14

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 56.59

Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 4.59

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 11.97

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 6.10

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 7.93

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.64

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.03

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.07

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): 0.57

Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.29

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 2.17

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.24

Organized family group (Indicates if the facility has an organized group of family members of residents): Yes

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

Other - Contract (The number of full-time equivalent persons not included in any other categories under contract to the facility): 0.04

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): 20.94

Other activities staff-Full time (Number of full-time staff hours for other activities): 6.41

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 4.06

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.47

Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 1.04

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.16

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 8.56

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): 3.96

Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.66

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.03

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): May 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