DOOR COUNTY MEMORIAL HOME HEALTH - STURGEON BAY, WI

United States hospital / nursing home:
DOOR COUNTY MEMORIAL HOME HEALTH - STURGEON BAY, WI

DOOR COUNTY MEMORIAL HOME HEALTH
1300 EGG HARBOR RD SUITE 110
STURGEON BAY, WI 54235

SHORT TERM HOME HEALTH AGENCIES

Services provided by DOOR COUNTY MEMORIAL HOME HEALTH:

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 3

Change of ownership date (Effective date of a change of ownership): Oct 2000

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 0.30

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 3.90

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

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

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 8.10

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

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

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

Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): NEITHER

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): Yes

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 7.50

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): 520152

Social workers (The number of full time equivalent social workers employed by the agency): 0.60

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

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

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

Physical therapists on staff (The number of full-time equivalent physical therapists employed by an outpatient physical therapy provider or a home health agency provider): 0.60

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): Jun 1999

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): Jul 1985