FIRESIDE HOUSE OF CENTRALIA - CENTRALIA, IL
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Back to Hospital Data. Institution representatives - add corrected or new information about FIRESIDE HOUSE OF CENTRALIA » FIRESIDE HOUSE OF CENTRALIA1030 MARTIN LUTHER KING BLVD CENTRALIA, IL 62801 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by FIRESIDE HOUSE OF CENTRALIA:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 98 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 98 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 24 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.57 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 6 Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1 Change of ownership date (Effective date of a change of ownership): Jan 2002 Current fms survey date (Current fms survey date): Feb 1998 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID 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): 74 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 26.43 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.14 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.14 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 7.71 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.57 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.43 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.43 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.07 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): HEALTH PRIME Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 1.43 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): 2.29 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1.43 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): 4.29 Other activities staff-Full time (Number of full-time staff hours for other activities): 2.14 Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14 Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 2.29 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1.14 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): 0.07 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.43 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): 2.29 Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.07 Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.86 Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.07 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): May 1994 |
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