PROMINA COBB TRANSITIONAL CARE - AUSTELL, GA
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PROMINA COBB TRANSITIONAL CARE
3950 AUSTELL ROAD AUSTELL, GA 30106 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by PROMINA COBB TRANSITIONAL CARE:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 20 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 20 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.77 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 5.71 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): 110143 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): 1.14 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 20 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 5.71 Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.03 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.14 Food service - Contract (The number of full-time equivalent food service personnel under contract to a facility): 1 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 2.29 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.14 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): NORTHWEST GEORGIA HEALTH SYSTEM INC 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): 2.29 Occup therapy aide - Full time (The number of full-time equivalent occupational therapy aides employed by a facility on a full time basis): 0.57 Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 1.14 Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.29 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): 2.29 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.14 Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14 Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.29 Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.57 Provider based facility (Indicates if a long term care facility is provider based): Yes 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): 1.14 Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.14 Ther rec spec - Part time (Number of part-time staff hours provided by therapeutic recreation specialist): 0.14 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): Aug 1998 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 1997 |
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