QUIBURI MISSION SAMARITAN CENTER - BENSON, AZ
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QUIBURI MISSION SAMARITAN CENTER
850 S HWY 80 PO BOX 2260 BENSON, AZ 85602 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by QUIBURI MISSION SAMARITAN CENTER:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 60 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 0.63 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 0.63 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID Regional override #1 (number beds) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 0.63 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.19 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 0.63 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.50 Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.06 Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 0.50 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.26 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 0.63 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.37 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.31 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.13 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): EVANGELICAL LUTHERAN GOOD SAM SOCIETY Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.03 Organized resident group (Indicates if the facility has an organized residents group): Yes Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.13 Social worker - Contract (The number of full-time equivalent social workers under contract to a facility): 0.13 Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT 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): May 1992 Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): NOT ELIGIBLE TO PARTICIPATE Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Nov 1988 |
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