CLARK COUNTY HCC - OWEN, WI

United States hospital / nursing home:
CLARK COUNTY HCC - OWEN, WI

CLARK COUNTY HCC
W 4266 STATE HWY 29
OWEN, WI 54460


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

Services provided by CLARK COUNTY HCC:

  • Activities services are provided onsite to residents
  • Clinical laboratory 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
  • 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
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to residents
  • Therapeutic recreation specialist services are provided onsite 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): 188

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 188

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.57

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 14.86

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): 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): 1.14

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 11.43

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.37

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 188

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 80

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 28.29

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.23

Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 2.29

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 24

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 7.89

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 10.29

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 4.03

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.63

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.11

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

Occup therapy aide - Full time (The number of full-time equivalent occupational therapy aides employed by a facility on a full time basis): 2.29

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 1.14

Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14

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

Other activities staff-Full time (Number of full-time staff hours for other activities): 3.43

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.34

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 2.29

Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.11

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 5.03

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): 3.43

Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 45

Special care beds-Huntingtons (The number of beds in a unit identified and dedicated by the facility for residents with Huntington's disease): 15

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 1.14

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): Jan 1987