AWE KUALAWAACHE CARE CENTER - CROW AGENCY, MT

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AWE KUALAWAACHE CARE CENTER
PO BOX 999
CROW AGENCY, MT 59022

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

Services provided by AWE KUALAWAACHE CARE CENTER:

• Administration and storage of blood services are provided offsite to residents
• Dental services are provided offsite to residents
• Mental health services are provided offsite to residents
• Podiatry services are provided offsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 40

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 40

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.66

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.49

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): 1.14

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.29

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 40

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 13.47

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): 6.43

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.80

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

Organized resident group (Indicates if the facility has an organized residents group): Yes

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.06

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.23

Provider based facility (Indicates if a long term care facility is provider based): Yes

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): 0.57

Does facil. provides opt occup (Does facility provide occupational therapy services ??): No

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): Jul 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): Jun 1998