NORTHEAST FLORIDA STATE HOSPITAL - MACCLENNY, FL

Institution representatives - add corrected or new information about NORTHEAST FLORIDA STATE HOSPITAL »

NORTHEAST FLORIDA STATE HOSPITAL
HIGHWAY 121 SOUTH
MACCLENNY, FL 32063


Institution's representative submitted the following:
The hospital has 553 beds.

Institution's representative submitted the following:
The hospital has an affiliation with the University of Florida. Total number of employees is 1157.

PSYCHIATRIC HOSPITALS

Services provided by NORTHEAST FLORIDA STATE HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 138

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 80

Physicians (The number of full-time equivalent physicians employed by a provider): 29

Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 10D0267077

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): No

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): Yes

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): No

Dieticians (Number of full-time equivalent dieticians employed by a facility): 4

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 28

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): LIMITED

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 1

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 1014

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 1

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

Regional override #3 (nurse - Bed) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 114

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 4

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): Yes

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1

Srv: dental (Indicates how dental services are provided): PROVIDED BY STAFF

Srv: dietary (Indicates how dietary services are provided): PROVIDED BY STAFF

Srv: laboratory (anatomical) (Indicates how anatomical laboratory services are provided in a hospital): PROVIDED UNDER ARRANGEMENT

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: obstetrics (Indicates how obstetrics services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED BY STAFF

Srv: optometric (Indicates how optometric services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: outpatient surgery unit (Indicates how outpatient surgery unit services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): COMBINATION

Srv: psychiatric (Indicates how psychiatric services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: radiology (therapeutic) (Indicates how therapeutic radiology services are provided by a hospital): 1

Srv: rehabilitation (Indicates how rehabilitation services are provided by a hospital): PROVIDED BY STAFF

Srv: social (Indicates how social services are provided): PROVIDED BY STAFF

Srv: speech pathology (Indicates how speech pathology services are provided): COMBINATION

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): No

Type of facility (Indicates the category which represents the type of facility): PSYCHIATRIC

Speech pathologists, audiologists (The number of full-time equivalent speech pathologists or audiologists employed by a provider): 1

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 27

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): Apr 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): May 1969