COUNTRYSIDE HEALTHCARE CENTER - DOLTON, IL
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Back to Hospital Data. Institution representatives - add corrected or new information about COUNTRYSIDE HEALTHCARE CENTER » COUNTRYSIDE HEALTHCARE CENTER1635 EAST 154TH STREET DOLTON, IL 60419 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by COUNTRYSIDE HEALTHCARE CENTER:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 197 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 197 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 173 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 15.71 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.80 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 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): 24 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 33.57 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.23 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 11.43 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 11.43 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.03 Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.11 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): CARE PLUS MANAGEMENT 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): 2.29 Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 1.14 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.57 Organized resident group (Indicates if the facility has an organized residents group): Yes Other activities staff-Full time (Number of full-time staff hours for other activities): 4.57 Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 5.71 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.23 Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.57 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.57 Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 1.14 Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.11 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): 0.06 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): Sep 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 1994 |
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