PROVIDENCE SEASIDE EXTENDED CA - SEASIDE, OR
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PROVIDENCE SEASIDE EXTENDED CA
725 S WAHANNA RD SEASIDE, OR 97138 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by PROVIDENCE SEASIDE EXTENDED CA:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 22 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 22 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 12 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.14 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.94 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): 381303 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): 0.51 Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 10 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 6.09 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 4.74 Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.17 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 1.94 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.46 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.03 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.94 Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.09 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): SISTERS OF PROVIDENCE HEALTH SYSTEM Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes 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): 2.17 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): 2.17 Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 0.97 Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.40 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 Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 0.36 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 2.17 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): 0.51 Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.86 Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.07 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 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 1996 |
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