WAUTOMA CARE CTR 2628 - WAUTOMA, WI
United States hospital / nursing home:
WAUTOMA CARE CTR 2628 - WAUTOMA, WI
WAUTOMA CARE CTR 2628
327 S WAUPACA ST PO BOX 720
WAUTOMA, WI 54982
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by WAUTOMA CARE CTR 2628:
- Activities services are provided onsite to residents
- Clinical laboratory 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 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 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
- 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): 82
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 82
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 72
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.37
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.67
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.20
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.14
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 10
Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 1.47
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 12.71
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 6.13
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.06
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.09
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 1.14
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 5.83
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 3.63
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.30
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.37
Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.06
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): HEALTHPRIME 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-Contract (The number of full-time equivalent nurses with administrative duties under contract to a facility): 1.27
Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 1.21
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.14
Organized family group (Indicates if the facility has an organized group of family members of residents): Yes
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): 2.43
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): 4.73
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.99
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.14
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.06
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 1.26
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.96
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.14
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): Feb 2001
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 1985