PAYNESVILLE GOOD SAMARITAN CTR - PAYNESVILLE, MN
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PAYNESVILLE GOOD SAMARITAN CTR
311 WASHBURNE AVE PAYNESVILLE, MN 56362 LONG TERM NURSING FACILITIES Services provided by PAYNESVILLE GOOD SAMARITAN CTR:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 40 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 40 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 40 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.40 Current fms survey date (Current fms survey date): Mar 2002 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID ONLY Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.81 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.44 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.46 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.29 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.53 Compliance: 7 day registered nurse (Indicates if a waiver of the 7 day registered nurse requirements has been recommended for a snf or nf): WAIVER RECOMMENDED 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): 3.30 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.63 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.26 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 2.37 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.01 Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 1.21 Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 1.91 Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.01 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EVANGELICAHL LUTHERAN GOOD SAM SOCIETY Nurse aides in trng-Part time (The number of full-time equivalent nurse aides in training employed by a facility on a part time basis): 0.54 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): 1.03 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): 1.43 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.93 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11 Physician extender - Contract (The number of full-time equivalent physician extenders under contract to the facility): 0.11 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 - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.56 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): Mar 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): Mar 1974 |
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