MEMORIAL COMMUNITY HOSPITAL - EDGERTON, WI

United States hospital / nursing home:
MEMORIAL COMMUNITY HOSPITAL - EDGERTON, WI

MEMORIAL COMMUNITY HOSPITAL
313 STOUGHTON RD
EDGERTON, WI 53534


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

Services provided by MEMORIAL COMMUNITY HOSPITAL:

  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided onsite to residents
  • Clinical laboratory services are provided onsite to non residents
  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided onsite to non residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite 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
  • Physician extender services are provided onsite to residents
  • Physical therapy services are provided onsite to non residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided onsite to non residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to non 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 non 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): 61

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 61

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.29

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.71

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

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.57

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 61

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 14.29

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 5.97

Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14

Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.70

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 9.14

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 5.97

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.71

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.14

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.36

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): 1.14

Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14

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): 1.14

Other activities staff-Full time (Number of full-time staff hours for other activities): 0.57

Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 1.14

Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 1.31

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14

Phys ther asst - Part time (Number of part-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): 1.14

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2.56

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): 0.99

Ther rec spec - Part time (Number of part-time staff hours provided by therapeutic recreation specialist): 0.11

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): Feb 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): May 1971