NORTH WALK VILLA CONVAL. HOSP. - NORWALK, CA
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NORTH WALK VILLA CONVAL. HOSP.
12350 ROSECRANS NORWALK, CA 90650 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by NORTH WALK VILLA CONVAL. HOSP.:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 59 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 58 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 26 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 8.84 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 0.86 Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 4 Current fms survey date (Current fms survey date): Feb 2002 Prior change of ownership (The date of a prior change of ownership): Jun 1989 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 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.43 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 32 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 21.73 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 2.04 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 5.71 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.46 Housekeeping - Contract (The number of full-time equivalent housekeeping personnel under contract to a facility): 1.14 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 3.39 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.46 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.91 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.09 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): LIFE CARE CENTERS OF AMERICA, INC. Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.09 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): 1.14 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.69 Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.71 Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.57 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 Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.34 Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC 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): Feb 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): Oct 1985 |
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