CLOSED HAVEN OF OUR LADY OF PEACE - PENSACOLA, FL
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CLOSED HAVEN OF OUR LADY OF PEACE
5203 N 9TH AVE PENSACOLA, FL 32504 LONG TERM NURSING FACILITIES Services provided by CLOSED HAVEN OF OUR LADY OF PEACE:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 89 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 89 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 89 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 12.57 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 Prior change of ownership (The date of a prior change of ownership): Jan 1988 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID 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): 100025 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): 5.71 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.94 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 36.57 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 3.54 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): 15.57 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.17 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 10.29 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.69 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.86 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 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.91 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): 1.14 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.57 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1.14 Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 1.03 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): 1.49 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): 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): Jul 1997 Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE |
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