PLYMOUTH SQUARE - STOCKTON, CA
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Back to Hospital Data. Institution representatives - add corrected or new information about PLYMOUTH SQUARE » PLYMOUTH SQUARE1319 N. MADISON ST. STOCKTON, CA 95202 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by PLYMOUTH SQUARE:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 38 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 38 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.29 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 4.33 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 1.34 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 38 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 15.16 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 2 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): 3.43 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 2.61 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.91 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.69 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.27 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.03 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): RETIREMENT HOUSING FOUNDATION 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-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.69 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): 3.39 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): 0.40 Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.09 Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.57 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.16 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 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): Jun 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): Feb 1997 |
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