(CLOSED) SYCAMORE SHOALS SNF - ELIZABETHTON, TN

United States hospital / nursing home:
(CLOSED) SYCAMORE SHOALS SNF - ELIZABETHTON, TN

(CLOSED) SYCAMORE SHOALS SNF
1501 WEST ELK AVENUE
ELIZABETHTON, TN 37643


SHORT TERM SKILLED NURSING FACILITIES

Services provided by (CLOSED) SYCAMORE SHOALS SNF:

  • Activities services are provided onsite to residents
  • Administration and storage of blood services are provided onsite to residents
  • Clinical laboratory services are provided onsite to residents
  • Dental services are provided onsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Mental health 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
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry 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 onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 12

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 12

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 7.54

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.94

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): Aug 1998

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

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): 440018

Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.06

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14

Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 12

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.06

Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.46

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 8.17

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 0.50

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.03

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): MOUNTAIN STATES HEALTH ALLIANCE

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.09

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.46

Pharmacists - Full time (The number of full-time equivalent pharmacists employed by a facility on a full time basis): 1.14

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 0.43

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14

Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 0.57

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.03

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 - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.06

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 2000

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): Apr 1993