OAKS, THE-A DIVISION OF WHITLE - COLUMBIA CITY, IN
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OAKS, THE-A DIVISION OF WHITLE
411 N WOLF RD COLUMBIA CITY, IN 46725 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by OAKS, THE-A DIVISION OF WHITLE:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 82 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 82 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 74 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.81 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4.77 Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2 Prior change of ownership (The date of a prior change of ownership): Feb 1993 Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 150101 Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.43 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 2.97 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.23 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 8 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 14.79 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 12.50 Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.46 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 8.36 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.11 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.10 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 3.96 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 4.79 Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.03 Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 2.40 Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.69 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): WHITLEY MEMORIAL HOSPITAL INC 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): 1.70 Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.77 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 - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 0.69 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.86 Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.84 Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.07 Provider based facility (Indicates if a long term care facility is provider based): Yes Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.87 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): 1.03 Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.03 Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 1.03 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): Jul 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): Jul 1972 |
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