MITCHELL MANOR - WEST ALLIS, WI

United States hospital / nursing home:
MITCHELL MANOR - WEST ALLIS, WI

MITCHELL MANOR
5301 WEST LINCOLN AVENUE
WEST ALLIS, WI 53219


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

Services provided by MITCHELL MANOR:

  • Activities services are provided onsite to nonresidents
  • Activities 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 offsite 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 non residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to non 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 2 - Indicates other activity services provided by staff onsite to nonresidents
  • 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 offsite 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 non 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
  • 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): 74

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 74

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 8.64

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.36

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 - Part time (The number of full-time equivalent activities professionals employed part 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): 74

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 14.43

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 22.97

Compliance: patient room size (Indicates if a waiver of patient room size has been recommended for a facility): WAIVER RECOMMENDED

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

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 6.93

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 8.73

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 6.51

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 4.86

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 5.26

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06

Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 1.57

Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 1.26

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other activities staff-Full time (Number of full-time staff hours for other activities): 3.43

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.39

Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.96

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 - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 1.21

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.06

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2.51

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): 1.03

Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.10

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): May 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): Jul 1996