PINE VALLEY HEALTH CARE/REHAB - RICHLAND CENTER, WI

United States hospital / nursing home:
PINE VALLEY HEALTH CARE/REHAB - RICHLAND CENTER, WI

PINE VALLEY HEALTH CARE/REHAB
RT 4 P O BOX 154
RICHLAND CENTER, WI 53581

RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by PINE VALLEY HEALTH CARE/REHAB:

  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided offsite 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 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
  • Pharmacy services are provided offsite to residents
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided offsite to residents
  • Physician extender services are provided onsite to residents
  • Physical therapy services are provided onsite to non 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 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
  • Therapeutic recreation specialist services are provided onsite to residents
  • Diagnostic xray services are provided offsite 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): 120

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 120

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 22

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.77

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 9.33

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

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.64

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 98

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 46

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 12.16

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.01

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.06

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 7.34

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 6.40

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.14

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.73

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.83

Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 6.84

Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 1.99

Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 1.30

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.04

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): 2.61

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 0.84

Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.71

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): 7.44

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): 1.60

Other activities staff-Full time (Number of full-time staff hours for other activities): 1.83

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.31

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.43

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1

Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.56

Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.89

Physician extender - Part time (The number of full-time equivalent physician extenders employed by the facility on a part-time basis): 0.17

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 4.86

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): 0.89

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 2

Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.16

Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 11

Speech pathologist - Full time (The number of full-time equivalent sppech pathologists employed by a facility on a full time basis): 0.89

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 1984