SOUTH WEST FLORIDA REGIONAL ME - FORT MYERS, FL
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SOUTH WEST FLORIDA REGIONAL ME
2727 WINKLER AVENUE FORT MYERS, FL 33901 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by SOUTH WEST FLORIDA REGIONAL ME:
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): 1.79 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 4 Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID 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 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): 100220 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): 2.86 Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.57 Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.57 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.14 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.09 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): COLUMBIA HCA HEALTHCARE INCORP 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): 1.14 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 - Full time (The number of full-time equivalent occupational therapists 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): 0.57 Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.91 Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14 Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.57 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14 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): 0.11 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 Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Jun 2001 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 1996 |
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