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COUNTRYSIDE MANOR INC - CLARKSVILLE, AR

 



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COUNTRYSIDE MANOR INC
HWY 64 EAST
CLARKSVILLE, AR 72830


LONG TERM NURSING FACILITIES

Services provided by COUNTRYSIDE MANOR INC:
  • Clinical laboratory services are provided offsite 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
  • 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
  • Diagnostic xray services are provided offsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 70

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 70

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 70

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 8

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Change of ownership date (Effective date of a change of ownership): Jan 1987

Prior change of ownership (The date of a prior change of ownership): Mar 1979

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

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 28

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 2

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 7

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1

Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 4

Organized resident group (Indicates if the facility has an organized residents group): Yes

Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 4

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1

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): Mar 1979

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