LAKE VIEW MEMORIAL HOME - TWO HARBORS, MN

United States hospital / nursing home:
LAKE VIEW MEMORIAL HOME - TWO HARBORS, MN

LAKE VIEW MEMORIAL HOME
325 - 11TH AVENUE
TWO HARBORS, MN 55616


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by LAKE VIEW MEMORIAL HOME:

  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided offsite to residents
  • Clinical laboratory 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
  • Mental health services are provided offsite 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
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided offsite to residents
  • Speech/language pathology 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): 50

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 50

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.30

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.03

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

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): 241308

Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.80

Administration - Contract (The number of full-time equivalent administrative staff under contract to a facility): 0.29

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 0.29

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.19

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 50

Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 3.09

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 10.21

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 7.90

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.89

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.36

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.20

Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 1.71

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 3.03

Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.83

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.39

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): 1.24

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): 3.20

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.79

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.03

Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.64

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.21

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 0.51

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 0.26

Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.37

Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.26

Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.24

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): 2.89

Rn director of nursing - Part time (The number of full-time equivalent rn director of nursing employed by a facility on a part time basis): 0.54

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.03

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 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): Aug 1968