COMMUNITY SKILLED NURSING FACILITY - PHOENIX, AZ

United States hospital / nursing home:
COMMUNITY SKILLED NURSING FACILITY - PHOENIX, AZ

COMMUNITY SKILLED NURSING FACILITY
6501 NORTH 19TH AVE
PHOENIX, AZ 85015


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

Services provided by COMMUNITY SKILLED NURSING FACILITY:

  • 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
  • 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
  • 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
  • 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): 10

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 10

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 1.03

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 1.03

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): 030059

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 0.40

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 10

Dietitians - Part time (The number of full-time equivalent dietitians employed by a facility on a part time basis): 0.29

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.54

Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.17

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): ORNDA HEALTH CORP

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): 0.69

Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.06

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

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 0.69

Pharmacists - Part time (The number of full-time equivalent pharmacists employed by a facility on a part time basis): 0.20

Physical therapists - Part time (The number of full-time equivalent physical therapists employed by a facility on a part time basis): 0.30

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): 2.14

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): 0.14

Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.23

Ther rec spec - Part time (Number of part-time staff hours provided by therapeutic recreation specialist): 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): Mar 1998

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): Aug 1996