BLOOMINGTON HOSPITAL - SUBACUTE CR CTR - BLOOMINGTON, IN
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BLOOMINGTON HOSPITAL - SUBACUTE CR CTR
601 W SECOND ST, PO BOX 1149 BLOOMINGTON, IN 47402 SHORT TERM SKILLED NURSING FACILITIES Services provided by BLOOMINGTON HOSPITAL - SUBACUTE CR CTR:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 28 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 28 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.97 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 8.23 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 ONLY Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 150051 Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 28 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 19.54 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.91 Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.14 Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.17 Occup therapy aide - Contract (The number of full-time equivalent occupational therapy aides under contract to a facility): 2.29 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 3.43 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): 0.57 Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 2 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 2.29 Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 2.29 Provider based facility (Indicates if a long term care facility is provider based): Yes Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2.46 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 - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.21 Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 1.14 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): Feb 1998 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 1997 |
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