ST MARY REGIONAL MEDICAL CTR D - APPLE VALLEY, CA
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ST MARY REGIONAL MEDICAL CTR D
18300 HIGHWAY 18 APPLE VALLEY, CA 92307 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED) Services provided by ST MARY REGIONAL MEDICAL CTR D:
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): 4.29 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 5.06 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): 050300 Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.57 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 - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 0.34 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 5.66 Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 0.86 Experimental research conducted (Indicates if a facility uses residents to develop and test clinical treatments): Yes Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 2.71 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.20 Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 0.51 Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.06 Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): ST. JOSEPH 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 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 - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.06 Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.23 Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.93 Organized resident group (Indicates if the facility has an organized residents group): Yes Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.29 Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.03 Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.71 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.37 Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.14 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): 0.93 Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.06 Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 0.23 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): Apr 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 1995 |
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