GUAM RENAL CARE - HAGATNA, GU

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GUAM RENAL CARE
265 CHALAN SANTO PAPA JUAN PABLO DOS
HAGATNA, GU 96910


SHORT TERM END STAGE RENAL DISEASE FACILITIES

Services provided by GUAM RENAL CARE:

• Activities services are provided offsite to residents
• Administration and storage of blood services are provided offsite to residents
• Dental services are provided offsite to residents
• Housekeeping services are provided offsite to residents
• Mental health services are provided offsite to residents
• Field 3 - Indicates other activity services provided by staff offsite to residents
• Physician services are provided onsite to non residents
• Podiatry services are provided offsite to residents
• Social work services are provided offsite to residents
• Therapeutic recrecation specialist services are provided offsite to residents
• Therapeutic recreation specialist services are provided onsite to residents
• Diagnostic xray services are provided offsite to residents

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): Nov 2000

Dieticians (Number of full-time equivalent dieticians employed by a facility): 1.50

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 5.50

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 6.20

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): PACIFIC DIALYSIS

Provider based facility (Indicates if a long term care facility is provider based): Yes

Branch operation indicator (Indicates if the agency operates any branches): No

Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): No

Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): Yes

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

Social workers (The number of full time equivalent social workers employed by the agency): 1

Subunit indicator (Indicates if the agency is a subunit of another agency): No

Subunit operation indicator (Indicates if the agency operates any subunits): No

Esrd network # (The number of the network to which the end stage renal dialysis facility is assigned): 17

Number of patients tue. 4th shift (Number of patients tue. 4th shift): 16

Stations - Hemodialysis (The total number of hemodialysis stations in an end stage renal disease (esrd) facility): 22

Stations - Total (The total number of approved dialysis stations in an end stage renal dialysis facility): 22

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): May 2000

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 1996