CLEMENT MANOR HEALTH CARE CENT - GREENFIELD, WI
United States hospital / nursing home:
CLEMENT MANOR HEALTH CARE CENT - GREENFIELD, WI
CLEMENT MANOR HEALTH CARE CENT
3939 SOUTH 92ND STREET
GREENFIELD, WI 53228
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by CLEMENT MANOR HEALTH CARE CENT:
- Activities services are provided onsite to residents
- Clinical laboratory services are provided onsite 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 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 onsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology 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): 168
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 168
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 14.89
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 14.99
Current fms survey date (Current fms survey date): Apr 1997
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): 3.43
Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 1.03
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 168
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 43.16
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 39.57
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.34
Experimental research conducted (Indicates if a facility uses residents to develop and test clinical treatments): Yes
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 23.81
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 11.47
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 14.40
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 4.30
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 4.84
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.57
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): 3.43
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1.14
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): 1.14
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): 15.30
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): 5.99
Other activities staff-Full time (Number of full-time staff hours for other activities): 1.14
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.89
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.69
Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 1.40
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.29
Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 0.57
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 5.01
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): 2.29
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 1.37
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): Oct 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): Nov 1982