WEST RIVER NURSE CORPS - HETTINGER, ND

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WEST RIVER NURSE CORPS
700 NORTH 4TH
HETTINGER, ND 58639


SHORT TERM HOME HEALTH AGENCIES

Services provided by WEST RIVER NURSE CORPS:

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Prior change of ownership (The date of a prior change of ownership): Apr 1989

Accreditation indicator (Indicates the organization that is responsible for the accreditation of the provider): JCAHO

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

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 2.70

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED UNDER ARRANGEMENT

Type of facility (Indicates the category which represents the type of facility): REHABILITATION

Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): COMPETENCY EVALUATION PROG.

Branch operation indicator (Indicates if the agency operates any branches): No

Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): No

Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): No

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 1

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

Medicare/Medicaid provider number (If the agency is based in another Medicare or Medicaid facility, the provider number of that facility): 350061

Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): COMBINATION

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Srv: nutritional guidance (Indicates how nutritional guidance services are provided): PROVIDED UNDER ARRANGEMENT

Srv: speech therapy (Indicates how speech therapy services are provided): PROVIDED UNDER ARRANGEMENT

Subunit indicator (Indicates if the agency is a subunit of another agency): No

Subunit operation indicator (Indicates if the agency operates any subunits): No

Srv: laboratory (Indicates how laboratory services are provided): PROVIDED UNDER ARRANGEMENT

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): Sep 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): Nov 1983