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