PERENNIAL HEALTH BELOIT INC 3061 - BELOIT, WI
United States hospital / nursing home:
PERENNIAL HEALTH BELOIT INC 3061 - BELOIT, WI
PERENNIAL HEALTH BELOIT INC 3061
2121 PIONEER DRIVE
BELOIT, WI 53511
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by PERENNIAL HEALTH BELOIT INC 3061:
- 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 non 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
- Physical therapy services are provided onsite to non residents
- Physical therapy services are provided onsite to residents
- Physician services are provided onsite 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
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 228
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 228
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 162
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 8.96
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.90
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2
Current fms survey date (Current fms survey date): Apr 1999
Prior change of ownership (The date of a prior change of ownership): Jul 1999
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
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 66
Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 13.60
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 28.59
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 15.01
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): 7.14
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 4.80
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 11
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.53
Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 1.26
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 4.47
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.11
Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 1.14
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.76
Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 1.07
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): 3.24
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): 4.07
Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.90
Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.21
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.40
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): 9.43
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
Other activities staff-Full time (Number of full-time staff hours for other activities): 3.14
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.71
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.57
Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.29
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 0.80
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.73
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): 2.29
Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 32
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): Apr 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): Mar 1991