GRIM SMITH HOSPITAL AND CLINIC - KIRKSVILLE, MO
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GRIM SMITH HOSPITAL AND CLINIC
112 EAST PATTERSON AVE KIRKSVILLE, MO 63501 SHORT TERM SKILLED NURSING FACILITIES Services provided by GRIM SMITH HOSPITAL AND CLINIC:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 11 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 9 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.60 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.60 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 260129 Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.86 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14 Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 9 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 2.06 Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 1.14 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 1.14 Medical director - Full time (The number of full-time equivalent medical directors employed by a facility on a full time basis): 0.06 Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 2.40 Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 0.86 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.71 Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.86 Provider based facility (Indicates if a long term care facility is provider based): Yes 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): 0.14 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 1994 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): Oct 1989 |
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