PINE HAVEN CHRISTIAN HOME - SHEBOYGAN FALLS, WI
United States hospital / nursing home:
PINE HAVEN CHRISTIAN HOME - SHEBOYGAN FALLS, WI
PINE HAVEN CHRISTIAN HOME
531 GIDDINGS AVE
SHEBOYGAN FALLS, WI 53085
LONG TERM NURSING FACILITIES
Services provided by PINE HAVEN CHRISTIAN HOME:
- Activities services are provided onsite to residents
- Clinical laboratory services are provided onsite to residents
- Dental 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
- Mental health services are provided offsite 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
- Pharmacy services are provided offsite 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 offsite to residents
- Physician services are provided onsite to residents
- Podiatry services are provided offsite 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): 71
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 71
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 71
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.23
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.46
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 - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.81
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 3.16
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 18.44
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 19.97
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.26
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 9.73
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 4.57
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 6.29
Organized resident group (Indicates if the facility has an organized residents group): Yes
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): 5.63
Other activities staff-Full time (Number of full-time staff hours for other activities): 1.03
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.89
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.03
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2.80
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): 0.64
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.03
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.20
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): Jan 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): Aug 1989