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