EVERGREEN RETIREMENT COMMUNITY - OSHKOSH, WI
United States hospital / nursing home:
EVERGREEN RETIREMENT COMMUNITY - OSHKOSH, WI
EVERGREEN RETIREMENT COMMUNITY
1130 N WESTFIELD ST PO BOX 1720
OSHKOSH, WI 54902
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by EVERGREEN RETIREMENT COMMUNITY:
- 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 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 non residents
- Occupational therapy services are provided onsite to residents
- Field 1 - Indicates other activity services provided by staff 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 offsite 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
- Therapeutic recreation specialist 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): 108
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 108
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 72
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.17
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): 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
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 18.39
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 6.67
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 36
Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 0.54
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 2.89
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 53.93
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.23
Experimental research conducted (Indicates if a facility uses residents to develop and test clinical treatments): Yes
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 10.43
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 6.97
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 1.14
Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.06
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): 0.53
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): 2.29
Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.69
Occup therapy aide - Contract (The number of full-time equivalent occupational therapy aides under contract to a facility): 0.01
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.86
Organized resident group (Indicates if the facility has an organized residents group): Yes
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): 10.04
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): 1.84
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.71
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.06
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1.39
Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 0.86
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.11
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 0.11
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 8.23
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): 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): 0.06
Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 2.77
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): Apr 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): Apr 1999