COOPERSTOWN MEDICAL CENTE - COOPERSTOWN, ND
United States hospital / nursing home:
COOPERSTOWN MEDICAL CENTE - COOPERSTOWN, ND
COOPERSTOWN MEDICAL CENTE
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DUALLY CERTIFIED)
Services provided by COOPERSTOWN MEDICAL CENTE:
- Activities services are provided onsite to residents
- Administration and storage of blood services are provided offsite to residents
- Clinical laboratory services are provided offsite to residents
- Dental services are provided offsite to residents
- Dietary services are provided onsite to residents
- Housekeeping services are provided onsite to residents
- Mental health services are provided offsite 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
- Physician extender services are provided offsite to residents
- Physician extender 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 offsite to residents
- Social work services are provided onsite to residents
- Speech/language pathology services are provided offsite to residents
- Diagnostic xray services are provided offsite to residents
Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 58
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 58
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 5.90
Current fms survey date (Current fms survey date): May 2002
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): 351306
Activity professional - Full time (The number of full-time equivalent activities professionals employed full time by a facility): 0.94
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14
Administrator - Part time (The number of full-time equivalent administrative staff employed on a part-time basis by a facility): 2.54
Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 58
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 27.09
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 3.09
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): 0.94
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 9.43
Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 5.57
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1.37
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.77
Medication aides/techs-Part time (The number of full-time equivalent medication aides/ technicians employed bya facility on a part time basis): 0.09
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): 1.09
Nurses with admin duties-Part time (Number of full-time equivalent nurses with administrative duties employed by a facility on a part time basis): 0.97
Occupational therapist - Contract (The number of full-time equivalent occupational therapists under contract to a facility): 0.13
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 - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 4.20
Other activities staff-Full time (Number of full-time staff hours for other activities): 1.01
Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.37
Othr social serv staff-Part time (Number of part-time staff hours provided by other socia l services staff): 0.66
Physical therapists - Contract (The number of full-time equivalent physical therapists under contract to a facility): 0.43
Physical therapy aide - Part time (The number of full-time equivalent physical therapy aide employed by a facility on a part time basis): 0.23
Physician extender - Part time (The number of full-time equivalent physician extenders employed by the facility on a part-time basis): 0.14
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): 3.04
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): 0.13
Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 0.70
Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 12
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): May 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 1978