MENDOCINO COAST DIST HSP-HOSPICE SERV - FORT BRAGG, CA
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MENDOCINO COAST DIST HSP-HOSPICE SERV
700 RIVER DR FORT BRAGG, CA 95437 SHORT TERM HOSPICES Services provided by MENDOCINO COAST DIST HSP-HOSPICE SERV: Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 1 Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 1 Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 0.75 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): 050569 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): SHORT - TERM Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 0.25 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): 325 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): ST INPATIENT ACUTE & RESPITE CARE PROV IN HSP Counselors - Volunteer (The number of full-time equivalent volunteer counselors in a hospice): 0.25 Home health aides - Volunteer (The number of full-time equivalent volunteer home health aides in a hospice): 1 Homemakers - Staff (The number of full-time equivalent homemakers employed by a hospice): 0.25 Homemakers - Volunteer (The number of full-time equivalent homemakers in a hospice): 1 Lpns/lvns - Volunteer (The number of full-time equivalent volunteer licensed practical/vocational nurses in a hospice): 1 Medical social workers - Volunteer (The number of full-time equivalent volunteer medical social workers in a hospice): 0.25 Physicians - Volunteer (The number of full-time equivalent volunteer physicians in a hospice): 1 Registered nurses - Volunteer (The number of full-time equivalent volunteer registered nurses in a hospice): 0.75 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 BY STAFF Srv: short term inpatient care (Indicates how short term inpatient care services are provided by a hospice): PROVIDED BY STAFF Volunteers - Other (The number of full-time equivalent other volunteers in a hospice): 0.50 Volunteers - Total (The number of full-time volunteers in a hospice): 575 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): Aug 1987 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): Aug 1987 |
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