BANGOR MENTAL HLTH INST-- POOLER PAV - BANGOR, ME
United States hospital / nursing home:
BANGOR MENTAL HLTH INST-- POOLER PAV - BANGOR, ME
BANGOR MENTAL HLTH INST-- POOLER PAV
656 STATE STREET, PO BOX 926
BANGOR, ME 04401
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by BANGOR MENTAL HLTH INST-- POOLER PAV:
- Activities services are provided offsite to residents
- Activities services are provided onsite to nonresidents
- 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
- Clinical laboratory services are provided onsite to non residents
- Clinical laboratory services are provided onsite to residents
- Dental services are provided offsite to residents
- Dietary services are provided onsite to non residents
- Dietary services are provided onsite to residents
- Housekeeping services are provided onsite to non residents
- Housekeeping services are provided onsite to residents
- Nursing services are provided offsite to residents
- Nursing services are provided onsite to non residents
- Nursing services are provided onsite to residents
- Occupational therapy services are provided offsite to residents
- Occupational therapy services are provided onsite to non residents
- Occupational therapy services are provided onsite to residents
- Pharmacy services are provided offsite to residents
- Pharmacy services are provided onsite to non residents
- Pharmacy services are provided onsite to residents
- Physician extender services are provided offsite to residents
- Physician extender services are provided onsite to non residents
- Physician extender services are provided onsite to residents
- Physical therapy services are provided offsite to residents
- Physical therapy services are provided onsite to residents
- Physician services are provided offsite to residents
- Physician services are provided onsite to non residents
- Physician services are provided onsite to residents
- Podiatry services are provided offsite to residents
- Social work services are provided offsite to residents
- Social work services are provided onsite to non residents
- Social work services are provided onsite to residents
- Speech/language pathology services are provided offsite to residents
- Speech/language pathology services are provided onsite to non residents
- Speech/language pathology services are provided onsite to residents
- Vocational services are provided offsite to residents
- Vocational services are provided onsite to non residents
- Vocational services are provided onsite to residents
- Diagnostic xray services are provided offsite 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): 17
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 17
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 2.29
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.71
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
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): 204004
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.03
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): 17
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 10.17
Experimental research conducted (Indicates if a facility uses residents to develop and test clinical treatments): Yes
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.14
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 0.99
Organized family group (Indicates if the facility has an organized group of family members of residents): 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): 0.97
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.27
Provider based facility (Indicates if a long term care facility is provider based): Yes
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): Jan 1995
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): Mar 1994