DR KATE NEWCOMB CONVALESCENT C - WOODRUFF, WI

United States hospital / nursing home:
DR KATE NEWCOMB CONVALESCENT C - WOODRUFF, WI

DR KATE NEWCOMB CONVALESCENT C
301 ELM ST PO BOX 829
WOODRUFF, WI 54568

LONG TERM NURSING FACILITIES

Services provided by DR KATE NEWCOMB CONVALESCENT C:

  • Activities services are provided offsite to residents
  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided offsite to residents
  • Administration and storage of blood services are provided onsite to residents
  • Clinical laboratory services are provided offsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided offsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided offsite 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 offsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided offsite to residents
  • Occupational therapy services are provided onsite to residents
  • Field 3 - Indicates other activity services provided by staff offsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Pharmacy services are provided offsite to residents
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided offsite to residents
  • Physician extender services are provided onsite to residents
  • Physical therapy services are provided offsite 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 offsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided offsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided offsite to residents
  • Speech/language pathology services are provided onsite to residents
  • Diagnostic xray services are provided offsite 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): 65

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 65

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 65

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.17

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.61

Current fms survey date (Current fms survey date): Jan 2002

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

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

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): 520091

Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.86

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.01

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.14

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 10.31

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 18.21

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.10

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 3.01

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.91

Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 2.94

Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 0.21

Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.87

Other activities staff-Full time (Number of full-time staff hours for other activities): 1.10

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.57

Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.46

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): 2.24

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): 1.03

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14

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 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): Mar 1981