WIS VETERANS HOME - STORDOCK - KING, WI
United States hospital / nursing home:
WIS VETERANS HOME - STORDOCK - KING, WI
WIS VETERANS HOME - STORDOCK
STORDOCK HALL
KING, WI 54946
LONG TERM NURSING FACILITIES
Services provided by WIS VETERANS HOME - STORDOCK:
- Activities services are provided onsite to residents
- 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 non 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
- 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 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): 200
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 200
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 200
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 8.79
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 9.40
Current fms survey date (Current fms survey date): Aug 2001
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID 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
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.54
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 74.40
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 7.73
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 48.30
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 18.24
Dentists - Full time (The number of full-time equivalent dentists employed by a facility on a full time basis): 1.14
Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 3.89
Experimental research conducted (Indicates if a facility uses residents to develop and test clinical treatments): Yes
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 64.39
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 14.47
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 76.10
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.73
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.83
Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 1.03
Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.47
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): 12.59
Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 1.96
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1.14
Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 1.14
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): 55.99
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): 10.50
Other activities staff-Full time (Number of full-time staff hours for other activities): 2.44
Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 1.37
Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 4.04
Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 3.74
Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 1.04
Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 2.29
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1.06
Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14
Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 1.04
Physician extender - Full time (The number of full-time equivalent physician extenders employed by the facility on a full-time basis): 3.43
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.11
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2
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): 5.56
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 6.30
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 1.61
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 1.14
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): May 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): Mar 1974