MONTELLO CARE CTR 2633 - MONTELLO, WI

United States hospital / nursing home:
MONTELLO CARE CTR 2633 - MONTELLO, WI

MONTELLO CARE CTR 2633
251 FOREST LANE PO BOX 488
MONTELLO, WI 53949

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

Services provided by MONTELLO CARE CTR 2633:

  • Activities services are provided offsite to residents
  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided offsite to residents
  • Clinical laboratory services are provided offsite to 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 residents
  • Mental health services are provided offsite 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
  • Pharmacy 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 offsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided offsite 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
  • Diagnostic xray services are provided offsite 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): 64

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 48

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.04

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.23

Current fms survey date (Current fms survey date): Jan 1999

Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED

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

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): 1.97

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.30

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 48

Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 0.69

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.73

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 3.87

Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.10

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 4.30

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.71

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.90

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): HEALTHBANK NETWORK DEVELOPMENT INC

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 1.51

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

Organized family group (Indicates if the facility has an organized group of family members of residents): Yes

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): 3.04

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): 0.99

Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.01

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

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

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.89

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): 1.17

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.26

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): Nov 1999

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): Sep 1995