MORROW MEMORIAL HOME - SPARTA, WI

United States hospital / nursing home:
MORROW MEMORIAL HOME - SPARTA, WI

MORROW MEMORIAL HOME
331 S WATER ST
SPARTA, WI 54656


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

Services provided by MORROW MEMORIAL HOME:

  • Activities services are provided onsite to nonresidents
  • 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 non 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
  • Field 2 - Indicates other activity services provided by staff onsite to nonresidents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Other social services are provided onsite to nonresidents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided offsite to residents
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided offsite 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 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 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): 111

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 111

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.26

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.99

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

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): 1.14

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

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 4.26

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 111

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 18.14

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 39.61

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.03

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 6.43

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 12.70

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 3.26

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 4.31

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.31

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

Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 1.94

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.06

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 - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 11.14

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 3.94

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.17

Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 1.84

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

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.03

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 6.24

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): 0.69

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): Aug 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): Oct 2001