EVERGREEN MISSOULA HEALTH & RE - MISSOULA, MT
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EVERGREEN MISSOULA HEALTH & RE
3018 RATTLESNAKE DR MISSOULA, MT 59802 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by EVERGREEN MISSOULA HEALTH & RE:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 53 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 53 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.20 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.10 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): Jun 1997 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.87 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.46 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 53 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 12.10 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 5.23 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.71 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EVERGREEN HEALTHCARE OF VANCOUVER 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): 1.19 Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.16 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 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.06 Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.10 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): 1.19 Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.91 Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.03 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): Jan 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): Jan 1967 |
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