ST MICHAELS EVAN LUTHERAN HOME - FOUNTAIN CITY, WI

United States hospital / nursing home:
ST MICHAELS EVAN LUTHERAN HOME - FOUNTAIN CITY, WI

ST MICHAELS EVAN LUTHERAN HOME
270 NORTH ST ROUTE 2
FOUNTAIN CITY, WI 54629


LONG TERM NURSING FACILITIES

Services provided by ST MICHAELS EVAN LUTHERAN HOME:

  • 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
  • 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 non residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided offsite 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 non residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided offsite 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

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 55

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 55

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 55

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.10

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.19

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): MEDICAID ONLY

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.24

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 10.61

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 6.10

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): 0.11

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.57

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.11

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.74

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 5.74

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.07

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): 0.49

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): 4.50

Other activities staff-Full time (Number of full-time staff hours for other activities): 1.06

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.51

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.03

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.09

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.29

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

Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 0.11

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): Nov 1996

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 1983