MERCY MANOR - JANESVILLE, WI

United States hospital / nursing home:
MERCY MANOR - JANESVILLE, WI

MERCY MANOR
119 SOUTH PARKER DRIVE
JANESVILLE, WI 53545


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by MERCY MANOR:

  • Clinical laboratory 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
  • 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
  • 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): 75

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 75

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 47

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.09

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.80

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): 520066

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

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 28

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 9.91

Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.91

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.49

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.63

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.29

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.23

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): 1.94

Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 1.03

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

Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 1.03

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14

Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 1.14

Provider based facility (Indicates if a long term care facility is provider based): Yes

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

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.17

Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 1.14

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): Oct 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 1997