COUNTRY HAVEN HEALTHCARE - CYNTHIANA, IN
United States hospital / nursing home:
COUNTRY HAVEN HEALTHCARE - CYNTHIANA, IN
COUNTRY HAVEN HEALTHCARE
11121 NORTH STREET, PO BOX 367
CYNTHIANA, IN 47612
LONG TERM NURSING FACILITIES
Services provided by COUNTRY HAVEN HEALTHCARE:
- 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
- Mental health services are provided onsite to non residents
- Nursing services are provided onsite to residents
- Occupational therapy services are provided onsite to non residents
- Pharmacy services are provided onsite to residents
- Physical therapy services are provided onsite to non 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 non residents
- Vocational services are provided onsite to non 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): 75
Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 75
Beds - Nursing facility (Number of Medicaid certified skilled nursing care beds in a facility): 75
Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 3.40
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): Jul 1981
Compliance: life safety code (Indicates if a waiver of the life safety code has been recommended for a provider): WAIVER RECOMMENDED
Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICAID ONLY
Activity professional - Contract (The number of full time equivalent activities professionals under contract to a facility): 0.05
Activity professional - Part time (The number of full-time equivalent activities professionals employed part time by a facility): 0.70
Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.25
Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 3.70
Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 0.90
Compliance: patient room size (Indicates if a waiver of patient room size has been recommended for a facility): WAIVER RECOMMENDED
Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.05
Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 1
Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.50
Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 1
Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 0.80
Medical director - Contract (The number of full-time equivalent medical directors under contrcat to a facility): 0.05
Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): FIRST NEPENTHE HEALTHCARE PARTNERS II
Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes
Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.05
Registered nurse - Contract (The number of full-time equivalent registered nurses under contract to a facility): 0.25
Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 0.50
Social worker - Part time (The number of full-time equivalent social workers employed by a facility on a part time basis): 0.90
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 1991
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 1980