NORTHERN PINES GOOD SAM CTR - BLACKDUCK, MN
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Back to Hospital Data. Institution representatives - add corrected or new information about NORTHERN PINES GOOD SAM CTR » NORTHERN PINES GOOD SAM CTR172 SUMMIT AVENUE WEST BLACKDUCK, MN 56630 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by NORTHERN PINES GOOD SAM CTR:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 55 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 55 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 6.17 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.07 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): 4.59 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 55 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 7.94 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 10.10 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 4.51 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.13 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.70 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.96 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.27 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): THE EVANGELICAHL LUTHERAN GOOD SAM SOC Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes 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): 1.06 Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.93 Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.57 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1.07 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): 1.16 Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 1.23 Other activities staff-Full time (Number of full-time staff hours for other activities): 0.77 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.20 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11 Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.06 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.76 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.34 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 - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.13 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): Apr 1992 |
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