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TRI VALLEY HEALTH SYSTEMS - CAMBRIDGE, NE

 



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TRI VALLEY HEALTH SYSTEMS
PO BOX 488, WEST HIGHWAY 6 AND 34
CAMBRIDGE, NE 69022

LONG TERM NURSING FACILITIES

Services provided by TRI VALLEY HEALTH SYSTEMS:
  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided offsite to residents
  • Clinical laboratory services are provided offsite to residents
  • Dental services are provided offsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided onsite to non residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physician extender services are provided offsite to residents
  • Physician extender services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided offsite to residents
  • Physician services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to residents
  • Diagnostic xray services are provided offsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 36

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 36

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 36

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.11

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1

Current fms survey date (Current fms survey date): May 1998

Prior change of ownership (The date of a prior change of ownership): Oct 1971

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID ONLY

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): 281348

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.63

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.90

Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.66

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.83

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 3.66

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.01

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 1.14

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 3.49

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 2.50

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.70

Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 1.77

Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 3.04

Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.60

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.01

Organized resident group (Indicates if the facility has an organized residents group): Yes

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): 3.17

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.27

Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.60

Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.11

Phys ther asst - Contract (Number of contract staff hours for physical therapy ass istants): 0.17

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.04

Physician extender - Full time (The number of full-time equivalent physician extenders employed by the facility on a full-time basis): 0.06

Provider based facility (Indicates if a long term care facility is provider based): Yes

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.57

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): 1.10

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.31

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.01

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): Aug 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): Oct 1980

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