HILLSIDE MANOR - BEAVER DAM, WI
United States hospital / nursing home:
HILLSIDE MANOR - BEAVER DAM, WI
HILLSIDE MANOR
803 S UNIVERSITY AVE
BEAVER DAM, WI 53916
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by HILLSIDE MANOR:
- Activities services are provided onsite to residents
- Dental services are provided onsite to residents
- Dietary services are provided onsite to residents
- Housekeeping services are provided onsite to residents
- Nursing services are provided onsite to 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
- 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
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 123
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 123
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 9.74
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 6.40
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2
Prior change of ownership (The date of a prior change of ownership): Jan 1995
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
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): 520076
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 7.30
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 2.77
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 123
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 27.60
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 41.04
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 17.87
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 13.84
Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 0.23
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 10.61
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): 5.26
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 2.26
Organized resident group (Indicates if the facility has an organized residents group): Yes
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): 9.59
Other activities staff-Full time (Number of full-time staff hours for other activities): 1.03
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 2.67
Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.29
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 2.19
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): 0.17
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): 3.27
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.26
Ther rec spec - Part time (Number of part-time staff hours provided by therapeutic recreation specialist): 0.69
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): Sep 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): Nov 1989