CHICOT MEMORIAL HOSPITAL - LAKE VILLAGE, AR
United States hospital / nursing home:
CHICOT MEMORIAL HOSPITAL - LAKE VILLAGE, AR
CHICOT MEMORIAL HOSPITAL
2729 HIGHWAY 65 AND 82 SOUTH
LAKE VILLAGE, AR 71653
SHORT TERM SKILLED NURSING FACILITIES
Services provided by CHICOT MEMORIAL HOSPITAL:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided onsite to residents
- Clinical laboratory services are provided offsite to residents
- Clinical laboratory services are provided onsite to residents
- Dental services are provided offsite 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 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
- Social work services are provided onsite to residents
- Speech/language pathology 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): 80
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 7
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 4.09
Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.74
Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY
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): 040105
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.20
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.17
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 7
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 1.03
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.03
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 0.33
Medical director - Part time (The number of full-time equivalent medical directors employed by a facility on a part time basis): 0.09
Nurses with admin duties-Contract (The number of full-time equivalent nurses with administrative duties under contract to a facility): 0.23
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): 0.57
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.20
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): 0.40
Other physician - Part time (The number of full-time equivalent other physicians employed by a facility on a part time basis): 0.04
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.06
Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.09
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.40
Provider based facility (Indicates if a long term care facility is provider based): Yes
Rn director of nursing - Part time (The number of full-time equivalent rn director of nursing employed by a facility on a part time basis): 0.27
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.14
Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.04
Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT 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): Sep 1997