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