CLARK MEMORIAL HOSPITAL-CCC - JEFFERSONVILLE, IN
United States hospital / nursing home:
CLARK MEMORIAL HOSPITAL-CCC - JEFFERSONVILLE, IN
CLARK MEMORIAL HOSPITAL-CCC
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)
Services provided by CLARK MEMORIAL HOSPITAL-CCC:
- 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
- Nursing services are provided onsite to residents
- Occupational therapy services are provided 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): 66
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 66
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 13.13
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID
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): 150009
Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.84
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.20
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 0.11
Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 36
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 30
Cert nurse aides - Contract (The number of full-time equivalent certified nurse aides under contract to a facility): 1.49
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 14.97
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 6.80
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.29
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.34
Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 0.69
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 10
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
Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.14
Organized resident group (Indicates if the facility has an organized residents group): Yes
Phys ther asst - Part time (Number of part-time staff hours for physical therapy as sistants): 0.14
Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.29
Provider based facility (Indicates if a long term care facility is provider based): Yes
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 1.66
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 - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.79
Speech pathologist - Part time (The number of full-time equivalent speech pathologists employed by a facility on a part time basis): 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): Feb 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): Jan 1988