NAZARETH HOUSE - STOUGHTON, WI
United States hospital / nursing home:
NAZARETH HOUSE - STOUGHTON, WI
NAZARETH HOUSE
814 JACKSON ST
STOUGHTON, WI 53589
LONG TERM NURSING FACILITIES
Services provided by NAZARETH HOUSE:
- Activities services are provided onsite to residents
- Clinical laboratory services are provided onsite to residents
- Dental services are provided onsite to residents
- Dietary services are provided onsite to residents
- Housekeeping services are provided onsite to residents
- Mental health services are provided onsite to residents
- Nursing services are provided onsite to residents
- Occupational therapy services are provided onsite to residents
- Field 1 - Indicates other activity services provided by staff onsite to residents
- Field 1 - Indicates services provided by social service s 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 residents
- Physician services are provided onsite to residents
- Podiatry services are provided onsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology 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): 99
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 99
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 99
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.47
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 6.36
Current fms survey date (Current fms survey date): Nov 2001
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID ONLY
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): 2.29
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 6.86
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.09
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 47.39
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 11.07
Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.57
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 10.10
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 4.21
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.39
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): 2.29
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): 14.07
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): 1.61
Other activities staff-Full time (Number of full-time staff hours for other activities): 2.29
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.64
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.34
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 2.29
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 3.21
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
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