UNITED METHODIST MEMORIAL HOME - WARREN, IN
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UNITED METHODIST MEMORIAL HOME
801 N HUNTINGTON AVENUE WARREN, IN 46792 RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART) Services provided by UNITED METHODIST MEMORIAL HOME:
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 278 Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 79 Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 65 Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 9.29 Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 3.49 Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED 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 Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.93 Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.53 Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.33 Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 14 Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 33 Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 1.83 Dietitians - Full time (The number of full-time equivalent dietitians employed by a facility on a full time basis): 8.44 Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 3.06 Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 6.93 Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.46 Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.56 Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.09 Medication aides/techs-Full time (The number of full-time equivalent medication aides/ technicians employed by a facility on a full time basis): 3.47 Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.37 Nurse aides in trng-Full time (The number of full-time equivalent nurse aides in training employed by a facility on a full time basis): 0.90 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): 1.24 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): 0.76 Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.14 Occupational therapist - Full time (The number of full-time equivalent occupational therapists employed by a facility on a full time basis): 0.76 Organized family group (Indicates if the facility has an organized group of family members of residents): Yes Organized resident group (Indicates if the facility has an organized residents group): Yes Other - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 4.86 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): 0.53 Other activities staff-Full time (Number of full-time staff hours for other activities): 0.29 Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.14 Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 0.71 Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 0.30 Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.94 Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.11 Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.49 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): 0.39 Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.90 Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 28 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): Jun 2002 |
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