WILLOWDALE NURSING & REHAB CTR - NEW HOLSTEIN, WI
United States hospital / nursing home:
WILLOWDALE NURSING & REHAB CTR - NEW HOLSTEIN, WI
WILLOWDALE NURSING & REHAB CTR
1610 HOOVER ST
NEW HOLSTEIN, WI 53061
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by WILLOWDALE NURSING & REHAB CTR:
- Activities services are provided onsite to residents
- Clinical laboratory services are provided onsite to residents
- Dental services are provided offsite 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 non 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
- Physical therapy services are provided onsite to non 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 onsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology services are provided onsite to non 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): 50
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 50
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.27
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): 1.01
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.84
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.57
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 50
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 9.50
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 8.69
Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.11
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 4.39
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.39
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.23
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.11
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.87
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.09
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EXTENDICARE HEALTH SERVICES INC
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-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 0.57
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): 1.14
Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.21
Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.57
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.11
Organized resident group (Indicates if the facility has an organized residents group): Yes
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): 0.87
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.89
Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.01
Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14
Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.33
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.67
Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.49
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2.60
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
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.29
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): Oct 2002
Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE