NEILLSVILLE MEMORIAL HOME - NEILLSVILLE, WI
United States hospital / nursing home:
NEILLSVILLE MEMORIAL HOME - NEILLSVILLE, WI
NEILLSVILLE MEMORIAL HOME
216 SUNSET PLACE
NEILLSVILLE, WI 54456
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by NEILLSVILLE MEMORIAL HOME:
- Administration and storage of blood services are provided offsite to residents
- Clinical laboratory services are provided offsite to residents
- Dental services are provided onsite to residents
- Dietary services are provided onsite to residents
- Housekeeping 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 offsite to residents
- Physical therapy services are provided offsite to residents
- Physician services are provided offsite to residents
- Physician services are provided onsite to residents
- Podiatry services are provided offsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology services are provided offsite to residents
- Diagnostic xray services are provided offsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 132
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 132
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 116
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3
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
Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 521323
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 3.03
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 16
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 26
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 33.29
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.11
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.29
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 17.06
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 3.43
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.89
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 4.93
Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 2
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 2.96
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): 2.50
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.86
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): 1.14
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): 14.30
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 4.41
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 1.71
Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.23
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.34
Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.50
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.11
Provider based facility (Indicates if a long term care facility is provider based): Yes
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2.14
Rn director of nursing - Part time (The number of full-time equivalent rn director of nursing employed by a facility on a part time basis): 0.53
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1
Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 11
Special care beds-Hospice (The number of beds in a unit identified and dedicated by a facility for residents needing hospice services): 2
Special care beds-Spec rehab (The number of beds in a unit identified and dedicated by the facility for residents with specialized rehab needs): 16
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.04
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): 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): Jul 1997