CAPESIDE COVE GOOD SAMARITAN CENTER - SIREN, WI
United States hospital / nursing home:
CAPESIDE COVE GOOD SAMARITAN CENTER - SIREN, WI
CAPESIDE COVE GOOD SAMARITAN CENTER
23926 FOURTH AVE SOUTH P O BOX 49
SIREN, WI 54872
LONG TERM NURSING FACILITIES
Services provided by CAPESIDE COVE GOOD SAMARITAN CENTER:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided onsite to nonresidents
- Clinical laboratory services are provided onsite to non residents
- Dental 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 onsite to non residents
- Nursing services are provided onsite to residents
- Occupational therapy services are provided onsite to non residents
- Pharmacy services are provided onsite to residents
- Physical therapy services are provided onsite to non residents
- Physician services are provided onsite to non residents
- Podiatry services are provided onsite to non residents
- Social work services are provided onsite to residents
- Speech/language pathology services are provided onsite to non residents
- Vocational services are provided onsite to non residents
- Diagnostic xray services are provided onsite to non residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 100
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 100
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 100
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.47
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.64
Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID ONLY
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14
Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 1.83
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.30
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 16.86
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 19.33
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.50
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.14
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.23
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 9.94
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.46
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.89
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.89
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): 0.50
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EVANGELICAL LUTHERAN GOOD SAMARITAN SO
Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.50
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.09
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.50
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.50
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 3.57
Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.04
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.50
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): May 1991
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): Sep 1983