HOSPICE OF IREDELL COUNTY - STATESVILLE, NC

Physicians (The number of full-time equivalent physicians employed by a provider): 4

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 98

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 40

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED UNDER ARRANGEMENT

Type of facility (Indicates the category which represents the type of facility): End-of-life care

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 7

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 30

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Srv: other (Indicates how other (not specified) services are provided): PROVIDED UNDER ARRANGEMENT

Total # of employees (The total number of full-time employees in a hospice or an intermediate care facility/mental retardation facility): 80

Srv: physician (Indicates how physician services are provided): PROVIDED BY EMPLOYEES

Acute/respite care indicator (Indicates if the hospice provides acute and/or respite short term inpatient care): SHORT TERM INPATIENT ACUTE CARE Provided at in-patient facility

Counselors - Staff (The number of full-time equivalent counselors employed by a hospice): 6

Counselors - Volunteer (The number of full-time equivalent volunteer counselors in a hospice): 250



Srv: counseling (Indicates how counseling services are provided by a hospice): PROVIDED BY STAFF

Srv: home health aide (Indicates how home health aide services are provided by a hospice): PROVIDED BY STAFF

Srv: homemaker (Indicates how homemaker services are provided by a hospice): PROVIDED BY STAFF

Srv: medical supplies (Indicates how medical supplies services are provided by a hospice): PROVIDED UNDER ARRANGEMENT

Srv: short term inpatient care (Indicates how short term inpatient care services are provided by a hospice): Gordon Hospice House

Volunteers - Total (The number of full-time volunteers in a hospice): 250

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 2009

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 1987