COMMUNITY MEMORIAL HOME HLTH SVCS, INC - MENOMONEE FALLS, WI

United States hospital / nursing home:
COMMUNITY MEMORIAL HOME HLTH SVCS, INC - MENOMONEE FALLS, WI

COMMUNITY MEMORIAL HOME HLTH SVCS, INC
W180 N8085 TOWN HALL ROAD
MENOMONEE FALLS, WI 53051

SHORT TERM HOME HEALTH AGENCIES

Services provided by COMMUNITY MEMORIAL HOME HLTH SVCS, INC:

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1

Change of ownership date (Effective date of a change of ownership): May 1987

Prior change of ownership (The date of a prior change of ownership): Mar 1985

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 1

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 1

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 2

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 5

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED BY STAFF

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED UNDER ARRANGEMENT

Type of facility (Indicates the category which represents the type of facility): REHABILITATION

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 1

Branch operation indicator (Indicates if the agency operates any branches): No

Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): No

Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): No

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 2

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

Medicare/Medicaid provider number (If the agency is based in another Medicare or Medicaid facility, the provider number of that facility): 520103

Srv: appliance and equipment (Indicates how appliance and equipment services are provided by a home health agency): PROVIDED BY STAFF

Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): PROVIDED BY AGENCY STAFF

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Srv: nutritional guidance (Indicates how nutritional guidance services are provided): PROVIDED BY STAFF

Srv: other (Indicates how other (not specified) services are provided): PROVIDED BY STAFF

Srv: speech therapy (Indicates how speech therapy services are provided): PROVIDED BY STAFF

Subunit indicator (Indicates if the agency is a subunit of another agency): No

Subunit operation indicator (Indicates if the agency operates any subunits): No

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): Feb 1987

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): Mar 1985