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CLOVERLEAF HEALTHCARE - HEMET, CA

 



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CLOVERLEAF HEALTHCARE
275 N. SAN JACINTO ST.
HEMET, CA 92343


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by CLOVERLEAF HEALTHCARE:
  • Activities 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 residents
  • Housekeeping 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
  • 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): 99

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 99

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 81

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 9.03

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.90

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 4

Prior change of ownership (The date of a prior change of ownership): Feb 1999

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

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): 1.21

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 8.37

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 18

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 39.26

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

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): 10.87

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 8.14

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): GOLDEN CROSS CARE, INC.

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

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): 1.61

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.57

Organized family group (Indicates if the facility has an organized group of family members of residents): Yes

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): 4.57

Other activities staff-Full time (Number of full-time staff hours for other activities): 2.26

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.06

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.03

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): 0.86

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

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): 1.24

Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.06

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.29

Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.06

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): Aug 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): Aug 1985

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