CLOVERDALE TRACE HC AND REHAB - JACKSON, TN

United States hospital / nursing home:
CLOVERDALE TRACE HC AND REHAB - JACKSON, TN

CLOVERDALE TRACE HC AND REHAB
131 CLOVERDALE STREET
JACKSON, TN 38301


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by CLOVERDALE TRACE HC AND REHAB:

  • Activities 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 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
  • Therapeutic recreation specialist services are provided onsite to residents
  • Vocational 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): 85

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 85

Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 59

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 14.40

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 3

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

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 3.43

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 26

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 25.60

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

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.23

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 11.43

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 13.71

Medical director - Contract (The number of full-time equivalent medical directors under contrcat 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): 4.57

Occup therapy asst - Contract (The number of full time equivalent occupational therapy assistants under contrcat to a facility): 1.14

Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 1.14

Organized family group (Indicates if the facility has an organized group of family members of residents): Yes

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other physician - Contract (The number of full-time equivalent other physicians under contract to a facility): 0.11

Othr social serv staff-Contract (Number of contract staff hours provided by other social services staff): 0.46

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

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 1.14

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): 2.29

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.57

Ther rec spec - Full time (Number of full-time staff hours provided by therapeutic recreation specialist): 1.14

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): Jun 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): Apr 1992