FIRST SHAMROCK CARE CENTER - KINGFISHER, OK

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FIRST SHAMROCK CARE CENTER
1415 SOUTH MAIN
KINGFISHER, OK 73750


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by FIRST SHAMROCK CARE CENTER:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 55

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 55

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.91

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): 0.56

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.26

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.71

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 55

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 16.21

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.41

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.49

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.49

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.16

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.47

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.64

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.09

Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 3.01

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): LTC SERVICES LLC SHAMROCK CARE CENTERS

Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 0.34

Occup therapy aide - Contract (The number of full-time equivalent occupational therapy aides under contract to a facility): 0.01

Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.01

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.01

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): 1.96

Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 0.46

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.10

Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.01

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.01

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.67

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.56

Does facil. provides opt occup (Does facility provide occupational therapy services ??): No

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): Nov 2001

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): Jun 2002