WILD ROSE MANOR - WILD ROSE, WI

United States hospital / nursing home:
WILD ROSE MANOR - WILD ROSE, WI

WILD ROSE MANOR
425 SUMMIT ST
WILD ROSE, WI 54984


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by WILD ROSE MANOR:

  • Activities 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 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 non residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided offsite 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
  • 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): 78

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 78

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.26

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.29

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

Current fms survey date (Current fms survey date): Aug 2002

Prior change of ownership (The date of a prior change of ownership): Aug 1999

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): 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): 1.14

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.43

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 78

Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 0.26

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 16

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 14.40

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): 4.63

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 4.97

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 3.23

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.51

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.33

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): WISCONSIN ILLINOIS SENIOR HOUSING

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 0.66

Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 0.29

Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.36

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 0.83

Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.17

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.11

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): 2.29

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): 1.90

Other activities staff-Full time (Number of full-time staff hours for other activities): 2.23

Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.39

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.39

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 3.23

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

Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 22

Special care beds-Hospice (The number of beds in a unit identified and dedicated by a facility for residents needing hospice services): 56

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.06

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): Aug 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): Nov 1992