CARROLL CO GOOD SAMARITAN CTR - MOUNT CARROLL, IL
United States hospital / nursing home:
CARROLL CO GOOD SAMARITAN CTR - MOUNT CARROLL, IL
CARROLL CO GOOD SAMARITAN CTR
1006 NORTH LOWDEN P.O. BOX 111
MOUNT CARROLL, IL 61053
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by CARROLL CO GOOD SAMARITAN CTR:
- Activities 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
- Field 1 - Indicates services provided by social service s 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): 72
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 72
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.14
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.14
Current fms survey date (Current fms survey date): May 1997
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 4.57
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 3.20
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 72
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 13.71
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 7.60
Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.03
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.10
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 3.43
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 7.60
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 1.14
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 6.31
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.49
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.03
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): EVANGELICAL LUTHERAN GOOD SAMARITAN SO
Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes
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): 0.93
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): 1.14
Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 2.40
Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 0.29
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.11
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): 6.63
Other activities staff-Full time (Number of full-time staff hours for other activities): 1.14
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.69
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.46
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.91
Physical therapy aide - Full time (The number of full-time equivalent physical therapy aide employed by a facility on a full time basis): 4.57
Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.41
Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.03
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 4
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 - Contract (The number of full-time equivalent social workers under contract to a facility): 0.06
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): 0.23
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): Jul 2002
Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE