PLYMOUTH MANOR NURSING & REHAB - MILWAUKEE, WI
United States hospital / nursing home:
PLYMOUTH MANOR NURSING & REHAB - MILWAUKEE, WI
PLYMOUTH MANOR NURSING & REHAB
619 W WALNUT ST
MILWAUKEE, WI 53212
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by PLYMOUTH MANOR NURSING & REHAB:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite to residents
- Administration and storage of blood services are provided onsite to residents
- Clinical laboratory services are provided offsite 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 offsite 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 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 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
- Therapeutic recreation specialist services are provided onsite to residents
- Vocational services are provided offsite 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): 81
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 81
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 6.06
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.60
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): 1.24
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 81
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 20.61
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 8.69
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.46
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 6.37
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.59
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.11
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.79
Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 0.57
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 3.24
Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 0.03
Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 1.21
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.13
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EXTENDICARE HEALTH FACILITIES INC
Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes
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): 0.83
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14
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): 14.37
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): 1.20
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.14
Other physician - Full time (The number of full-time equivalent other physicians employed by a facility on a full time basis): 0.03
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 0.17
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.29
Physician extender - Full time (The number of full-time equivalent physician extenders employed by the facility on a full-time basis): 0.07
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 0.47
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.80
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): 1.07
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.07
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 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): Jun 1992