LIVERMORE MANOR CONVALESCENT HOSPITAL - LIVERMORE, CA
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LIVERMORE MANOR CONVALESCENT HOSPITAL
788 HOLMES STREET LIVERMORE, CA 94550 LONG TERM NURSING FACILITIES Services provided by LIVERMORE MANOR CONVALESCENT HOSPITAL:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 37 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 37 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): 4.25 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 2.25 Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID ONLY 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 Activity professional - Contract (The number of full time equivalent activities professionals under contract to a facility): 0.25 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 15.25 Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.25 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 4 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 2.50 Housekeeping - Contract (The number of full-time equivalent housekeeping personnel under contract to a facility): 0.25 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 4 Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 1 Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.25 Occup therapy aide - Contract (The number of full-time equivalent occupational therapy aides under contract to a facility): 0.13 Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.13 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.25 Organized resident group (Indicates if the facility has an organized residents group): Yes Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 6 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.25 Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.25 Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 4 Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.25 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): Apr 1991 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): Apr 1991 |
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