ST NICHOLAS TRANS CARE - SHEBOYGAN, WI

United States hospital / nursing home:
ST NICHOLAS TRANS CARE - SHEBOYGAN, WI

ST NICHOLAS TRANS CARE
1601 TAYLOR DRIVE
SHEBOYGAN, WI 53081


SHORT TERM SKILLED NURSING FACILITIES

Services provided by ST NICHOLAS TRANS CARE:

  • Administration and storage of blood services are provided onsite to residents
  • Clinical laboratory services are provided onsite 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 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 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
  • 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): 15

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 15

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Prior change of ownership (The date of a prior change of ownership): Mar 2001

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY

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

Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 520044

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.57

Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 15

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 3.24

Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.20

Experimental research conducted (Indicates if a facility uses residents to develop and test clinical treatments): Yes

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.29

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.69

Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.01

Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.29

Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.57

Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.29

Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.57

Provider based facility (Indicates if a long term care facility is provider based): Yes

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 5.24

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 - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.86

Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.14

Ther rec spec - Part time (Number of part-time staff hours provided by therapeutic recreation specialist): 0.29

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): Sep 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 1997