MT TABOR EXTENDED CARE CENTER - PORTLAND, OR

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MT TABOR EXTENDED CARE CENTER
7100 SE DIVISION
PORTLAND, OR 97206


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

Services provided by MT TABOR EXTENDED CARE CENTER:

• Activities services are provided onsite to residents
• Clinical laboratory services are provided onsite to residents
• Dietary services are provided onsite to residents
• Housekeeping services are provided onsite to residents
• Nursing services are provided onsite to residents
• Occupational therapy services are provided 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
• 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): 120

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 120

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

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 10

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 120

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

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2

Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.15

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 - Contract (The number of full-time equivalent occupational therapy aides under contract to a facility): 0.50

Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.50

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1

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

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 0.50

Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.20

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1

Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.50

Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.20

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT IN COMPLIANCE

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): Jul 1991