MID AMERICA CONVALESCENT CENTER INC - CHICAGO, IL
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MID AMERICA CONVALESCENT CENTER INC
4920 N KENMORE CHICAGO, IL 60640 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by MID AMERICA CONVALESCENT CENTER INC:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 310 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 310 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 248 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.05 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.50 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID 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): 3.50 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 62 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 5.45 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 14 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): 0.25 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 27 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 8 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 23 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 7 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.50 Mental health services - Full time (The number of full-time equivalent mental health services personnel employed by a facility on a full time basis): 6 Mental health services - Part time (The number of full time equivalent mental health services personnel employed by a facility on a part time basis): 0.25 Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes Occup therapy aide - Full time (The number of full-time equivalent occupational therapy aides employed by a facility on a full time basis): 5 Occup therapy aide - Part time (The number of full-time equivalent occupational therapy aides employed by a facility on a part time basis): 1.50 Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 5 Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 1.50 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 Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.25 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.25 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 Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 7.25 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1 Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.25 Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1 Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.25 Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT 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 1991 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): Apr 1989 |
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