COMMUNITY CONV CTR OF SAN BERN - SAN BERNARDINO, CA

United States hospital / nursing home:
COMMUNITY CONV CTR OF SAN BERN - SAN BERNARDINO, CA

COMMUNITY CONV CTR OF SAN BERN
1676 MEDICAL CTR DR.
SAN BERNARDINO, CA 92411


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)

Services provided by COMMUNITY CONV CTR OF SAN BERN:

  • 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
  • Speech/language pathology services are provided onsite to residents
  • Therapeutic recreation specialist 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): 99

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 99

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 10.60

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 5.80

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

Prior change of ownership (The date of a prior change of ownership): Oct 1985

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): 050089

Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 1.14

Administration - Contract (The number of full-time equivalent administrative staff under contract to a facility): 1.24

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 5.91

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 99

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 36.93

Dentists - Contract (The number of full-time equivalent dentists under contract to a facility): 0.07

Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.23

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 7.54

Housekeeping - Contract (The number of full-time equivalent housekeeping personnel under contract to a facility): 6.71

Lpn/lvn - Contract (The number of full-time equivalent licensed practical/ vocational nurses under contract to a facility): 1.26

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.40

Mental health services - Contract (The number of full-time equivalent mental health services personnel under contract to a facility): 0.07

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): CATHOLIC HEALTHCARE WEST

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

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 - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.26

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 - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 1.46

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.46

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 1.19

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.17

Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.83

Podiatrists - Contract (The number of full time equivalent podiatrists under contract to a facility): 0.09

Provider based facility (Indicates if a long term care facility is provider based): Yes

Speech pathologist - Contract (The number of full-time equivalent speech pathologists under contract to a facility): 0.36

Ther rec spec - Contract (Number of contract staff hours provided by therapeutic recreation specialist): 0.09

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): Mar 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 1973