COUNTRYSIDE HEALTH CARE CENTER - SALEM, OH
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COUNTRYSIDE HEALTH CARE CENTER
767 BENTON RD SALEM, OH 44460 LONG TERM NURSING FACILITIES Services provided by COUNTRYSIDE HEALTH CARE CENTER:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 23 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 23 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 23 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.74 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 0.57 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): Mar 1988 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): MEDICAID ONLY Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.57 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.23 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.20 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.43 Compliance: patient room size (Indicates if a waiver of patient room size has been recommended for a facility): WAIVER RECOMMENDED Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 1.14 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 0.57 Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.06 Mental health services - Part time (The number of full time equivalent mental health services personnel employed by a facility on a part time basis): 0.03 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): WINDSOR HOUSE, INC Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes 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): 0.01 Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.36 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 1991 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): Feb 1986 |
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