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MEMORIAL MANOR NURSING HOME - BAINBRIDGE, GA

 



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MEMORIAL MANOR NURSING HOME
1500 EAST SHOTWELL STREET
BAINBRIDGE, GA 31717


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by MEMORIAL MANOR NURSING HOME:
  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided offsite to residents
  • Clinical laboratory services are provided offsite to residents
  • Dental services are provided offsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided offsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided offsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to residents
  • Diagnostic xray services are provided offsite to residents
  • Diagnostic xray services are provided onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 107

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 107

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 15.21

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

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): 110132

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 2.29

Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.50

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.29

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.71

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 107

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 50.56

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.90

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.06

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.64

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 17.67

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 6.86

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.29

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.50

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06

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): 1.14

Organized family group (Indicates if the facility has an organized group of family members of residents): Yes

Organized resident group (Indicates if the facility has an organized residents group): Yes

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): 2.29

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.13

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.11

Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 2.29

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.03

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

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.46

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): 1.14

Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.11

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.11

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): Mar 1998

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): NOT ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Feb 1997

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