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