PINE VIEW - BLACK RIVER FALLS, WI
United States hospital / nursing home:
PINE VIEW - BLACK RIVER FALLS, WI
PINE VIEW
400 CTH R
BLACK RIVER FALLS, WI 54615
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by PINE VIEW:
- Activities services are provided offsite to residents
- Activities services are provided onsite to nonresidents
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite 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 non residents
- Dietary services are provided onsite to residents
- Housekeeping services are provided onsite to non 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 non 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 3 - Indicates other activity services provided by staff offsite to residents
- Field 2 - Indicates other activity services provided by staff onsite to nonresidents
- Field 1 - Indicates other activity services provided by staff onsite to residents
- Pharmacy services are provided onsite to residents
- Physician extender services are provided offsite 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 offsite to residents
- Podiatry services are provided onsite to residents
- Social work services are provided onsite to non 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 recrecation specialist services are provided offsite to residents
- Therapeutic recreation specialist services are provided onsite to nonresidents
- Therapeutic recreation specialist services are provided onsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 141
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 141
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.31
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 7.17
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
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 2.84
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 10.97
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.46
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 141
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 52.31
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 8.60
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): 17.84
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.86
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 10.10
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.64
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 3.11
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.01
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.46
Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.03
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): 4.46
Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.29
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.14
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): 9.53
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): 3.57
Other activities staff-Full time (Number of full-time staff hours for other activities): 1.99
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.21
Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.07
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.23
Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.97
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.17
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2.53
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): 1.14
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.69
Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 28
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.10
Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 1.14
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): Oct 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): Oct 1987