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MISSION NURSING HOME - PLYMOUTH, MN

 



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MISSION NURSING HOME
3401 EAST MEDICINE LAKE BOULEVARD
PLYMOUTH, MN 55441


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

Services provided by MISSION NURSING HOME:
  • Activities services are provided onsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided offsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite 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 onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 104

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 104

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.83

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 0.83

Current fms survey date (Current fms survey date): Feb 1999

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

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14

Administration - Contract (The number of full-time equivalent administrative staff under contract to a facility): 2.57

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

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 104

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 22.37

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 4.93

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

Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.86

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 7

Housekeeping - Contract (The number of full-time equivalent housekeeping personnel under contract to a facility): 0.91

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 7.19

Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 5.03

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.23

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

Medication aides/techs-Contract (The number of full-Timr equivalent medication aides/ technicians under contract to a facility): 0.57

Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 6.23

Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.91

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.11

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

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.21

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): 5

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): 6.86

Other activities staff-Full time (Number of full-time staff hours for other activities): 1.14

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.04

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.69

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

Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 1.03

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

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): 0.03

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): Oct 2002

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): Feb 1991

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