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