DIVINE SAVIOR HOSPITAL & NURSING HOME - PORTAGE, WI
United States hospital / nursing home:
DIVINE SAVIOR HOSPITAL & NURSING HOME - PORTAGE, WI
DIVINE SAVIOR HOSPITAL & NURSING HOME
715 W PLEASANT ST
PORTAGE, WI 53901
LONG TERM NURSING FACILITIES
Services provided by DIVINE SAVIOR HOSPITAL & NURSING HOME:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite to residents
- Clinical laboratory services are provided offsite 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
- Pharmacy services are provided onsite to residents
- Physical therapy services are provided onsite to residents
- Physician services are provided offsite 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
- Vocational services are provided offsite to residents
- Diagnostic xray services are provided offsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 111
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 111
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 111
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.71
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.43
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
Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 520041
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 2.29
Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.57
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14
Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 0.91
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 28.46
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 22.17
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): 6.86
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 5.70
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 6.86
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 3.89
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.01
Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.03
Occup therapy aide - Contract (The number of full-time equivalent occupational therapy aides under contract to a facility): 0.15
Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.15
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
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.07
Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.22
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.43
Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 0.22
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.01
Provider based facility (Indicates if a long term care facility is provider based): Yes
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 4.80
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.57
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.14
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): Jan 1993
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 1974