INOVA COMMONWEALTH CARE CENTER - FAIRFAX, VA
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INOVA COMMONWEALTH CARE CENTER
4315 CHAIN BRIDGE ROAD FAIRFAX, VA 22030 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by INOVA COMMONWEALTH CARE CENTER:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 237 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 237 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 37 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 14.89 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 6.61 Current fms survey date (Current fms survey date): Aug 1998 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID Regional override #1 (number beds) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 7.80 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 2.24 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 100 Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 5.03 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 48.66 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 16.03 Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.03 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 1.14 Food service - Contract (The number of full-time equivalent food service personnel under contract to a facility): 1.14 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 17 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 6.51 Housekeeping - Contract (The number of full-time equivalent housekeeping personnel under contract to a facility): 11.66 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.49 Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 7.77 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 15.70 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.09 Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.17 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): INOVA HEALTH SYSTEMS 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-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 5.40 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): 6.86 Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 2.53 Occup therapy aide - Contract (The number of full-time equivalent occupational therapy aides under contract to a facility): 1.14 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 3.11 Organized resident group (Indicates if the facility has an organized residents group): Yes Other - Contract (The number of full-time equivalent persons not included in any other categories under contract to the facility): 1.14 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): 16.71 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): 0.43 Other activities staff-Full time (Number of full-time staff hours for other activities): 2.20 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.87 Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.11 Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.03 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.14 Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.54 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 3.37 Physical therapy aide - Contract (The number of full-time equivalent physical therapy aide under contract to a facility): 1.03 Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.04 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.33 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): 1.03 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): 1.09 Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 1.14 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): Jul 2002 Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE |
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